Value of intravenous alteplase before thrombectomy among patients with tandem lesions and emergent carotid artery stenting: A subgroup analysis of the SWIFT DIRECT trial.
Adnan MujanovicTomas DobrockyWaltraud PfeilschifterLuca RemondaJildaz CaroffDaniel BehmeDavid Julian SeiffgeCarlo W CeredaGeorg KägiJoe LeyonEike I PiechowiakVincent CostalatJudith WagnerEmmanuel ChabertThomas Raphael MeinelOlav JansenAngelika AlonsoChristian LoehrDavid S LiebeskindJan GrallaUrs FischerJohannes Kaesmachernull nullPublished in: European journal of neurology (2024)
No treatment effect heterogeneity of EVT + IVT versus EVT-only was observed among tandem lesion patients. Administering IVT in patients with anticipated emergent ICA stenting seems safe, and the latter should not be a factor to consider when deciding to administer IVT before EVT.