Evidence map›Paper›PMID 42852412›Full record

ArticleCureus2026

Repeated Thrombolysis Using Tenecteplase in a Patient With Early Recurrent Ischaemic Stroke.

Lucy Carleton, Kashif Musarrat, Dominic P Dalip

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lucy CarletonGeneral Practice, Kettering General Hospital NHS Trust, Kettering, GBR.
Kashif MusarratStroke Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.
Dominic P DalipInternal Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischaemic stroke is responsible for significant morbidity and mortality. Reperfusion therapy with intravenous thrombolysis is used to improve outcomes in patients with acute ischaemic stroke within 4.5 hours of symptom onset, but is generally contraindicated in early recurrent ischaemic stroke. Despite this, cases have been reported of patients who have had repeated thrombolysis using alteplase and achieved a good outcome. Tenecteplase, a variant of alteplase with higher specificity for fibrin and a longer half-life, is increasingly used as an alternative thrombolytic agent. However, there are no previously reported cases of repeated thrombolysis using tenecteplase. Here we report the first case of a 69-year-old male patient who received repeated thrombolysis with tenecteplase, rather than alteplase, in early recurrent ischaemic stroke.

Indexed as

acute ischaemic strokeearly recurrent ischemic strokeintravenous thrombolysisrepeated thrombolysistenecteplase (tnk)

Identifiers

PMID42852412
PMCPMC13648938

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.