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Thrombolysis in Acute Ischemic Stroke:Does it Work Stroke 23:1826-1839, Wardlaw,J.M.&Warlow,C.P., 1992 See this aricle in Pubmed Article Abstract Overview analysis of the six randomized trials of thrombolysis in acute ischemic stroke available in the world literature shows a 20%increase in the odds of death and a 30%reduction in the odds of death or deterioration (both with wide confidence intervals,neither result significant)after thrombolytic treatment for acute ischemic stroke.Exclusion of the two trials conducted without the benefit of computed tomographic scanning shows a 37%reduction in the odds of death(95%confidence interval,74% reduction to 40%excess)and a significant reduction of 56%in the odds of death or deterioration after thrombolytic treatment(95%confidence interval,20-76%reduction;2p=0.007).Analysis of all published studies (randomized and nonrandomized)shows that there does not appear to be an excess risk of hemorrhagic transformation of the cerebral infarct or of severe edema formation.We believe the present evidence is sufficiently encouraging to warrant proper testing of thrombolysis in sufficiently large and well-designed randomized clinical trials to influence clinical practice.

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(click to filter results - removes previous filter) adverse drug reaction cerebral infarction,hemorrhagic cerebral ischemia cerebrovascular accident cerebrovascular accident,acute management of fibrinolytic agents fibrinolytic agents,complications intracerebral hemorrhage review article treatment of neurologic disorder

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