Streamlining of prehospital stroke management: the golden hour

K Fassbender, C Balucani, S Walter, SR Levine… - The Lancet …, 2013 - thelancet.com
Thrombolysis with alteplase administered within a narrow therapeutic window provides an
effective therapy for acute ischaemic stroke. However, mainly because of prehospital delay …

Mobile stroke units for prehospital thrombolysis, triage, and beyond: benefits and challenges

K Fassbender, JC Grotta, S Walter… - The Lancet …, 2017 - thelancet.com
In acute stroke management, time is brain. Bringing swift treatment to the patient, instead of
the conventional approach of awaiting the patient's arrival at the hospital for treatment, is a …

Implementation and outcome of thrombolysis with alteplase 3–4· 5 h after an acute stroke: an updated analysis from SITS-ISTR

N Ahmed, N Wahlgren, M Grond, M Hennerici… - The Lancet …, 2010 - thelancet.com
Summary Background In September, 2008, the European Acute Stroke Study III (ECASS III)
randomised trial and the Safe Implementation of Treatment in Stroke-International Stroke …

Stroke treatment with alteplase given 3· 0–4· 5 h after onset of acute ischaemic stroke (ECASS III): additional outcomes and subgroup analysis of a randomised …

E Bluhmki, Á Chamorro, A Dávalos, T Machnig… - The Lancet …, 2009 - thelancet.com
Summary Background In the European Cooperative Acute Stroke Study III (ECASS III),
alteplase administered 3· 0–4· 5 h after the onset of stroke symptoms resulted in a significant …

Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study

A Kunz, M Ebinger, F Geisler, M Rozanski… - The Lancet …, 2016 - thelancet.com
Background Specialised CT-equipped mobile stroke treatment units shorten time to
intravenous thrombolysis in acute ischaemic stroke by starting treatment before hospital …

Tenecteplase versus alteplase for the management of acute ischaemic stroke in Norway (NOR-TEST 2, part A): a phase 3, randomised, open-label, blinded endpoint …

CE Kvistad, H Næss, BH Helleberg, T Idicula… - The Lancet …, 2022 - thelancet.com
Background Tenecteplase is a modified tissue plasminogen activator with pharmacological
and practical advantages over alteplase—which is currently the only approved thrombolytic …

Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials

KR Lees, E Bluhmki, R Von Kummer, TG Brott, D Toni… - The Lancet, 2010 - thelancet.com
Background Early administration of intravenous recombinant tissue plasminogen activator (rt-
PA) after ischaemic stroke improves outcome. Previous analysis of combined data from …

Future directions of acute ischaemic stroke therapy

M Fisher, JL Saver - The Lancet Neurology, 2015 - thelancet.com
For several years, the only therapy with proven efficacy for acute ischaemic stroke was
alteplase, which is approved for use within 4· 5 h after stroke onset in many countries, but …

FASTER (Face, Arm, Speech, Time, Emergency Response): experience of Central Coast Stroke Services implementation of a pre-hospital notification system for …

W O'Brien, D Crimmins, W Donaldson, R Risti… - Journal of Clinical …, 2012 - Elsevier
Despite benefit in acute ischaemic stroke, less than 3% of patients receive tissue
plasminogen activator (tPA) in Australia. The FASTER (Face, Arm, Speech, Time …

Comparison of tenecteplase with alteplase for the early treatment of ischaemic stroke in the Melbourne Mobile Stroke Unit (TASTE-A): a phase 2, randomised, open …

A Bivard, H Zhao, L Churilov, BCV Campbell… - The Lancet …, 2022 - thelancet.com
Summary Background Mobile stroke units (MSUs) equipped with a CT scanner reduce time
to thrombolytic treatment and improve patient outcomes. We tested the hypothesis that …