Intravenous thrombolysis before endovascular therapy for large vessel strokes can lead to significantly higher hospital costs without improving outcomes.

Ansaar T RaiSoHyun BooChelsea BusemanAmelia K AdcockAbdul R TarabishyMaurice M MillerThomas D RobertsJennifer R DomicoJeffrey S Carpenter

Published in: Journal of neurointerventional surgery (2017)

IV rt-PA did not improve recanalization, thrombectomy efficacy, functional outcomes, or length of stay. Combined therapy was associated with significantly higher total and direct hospital costs than endovascular therapy alone.

Keyphrases

healthcare
acute ischemic stroke
pulmonary embolism
acute care
adverse drug
high dose
middle cerebral artery
aortic dissection
bone marrow
weight loss
smoking cessation
glycemic control