Intravenous thrombolysis for acute ischemic stroke in the extended time window of 4.5–24 h: a systematic review and network meta-analysis of randomized controlled trials - Summary - MDSpire

Intravenous thrombolysis for acute ischemic stroke in the extended time window of 4.5–24 h: a systematic review and network meta-analysis of randomized controlled trials

  • By

  • Xiaoqi Yu

  • Xiuye Sun

  • Fang Yang

  • May 29, 2026

  • 0 min

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Objective:

To systematically evaluate the efficacy and safety of different intravenous thrombolytic agents in patients with acute ischemic stroke (IS) who present between 4.5 and 24 h after symptom onset.

Key Findings:
  • Clarify certainty levels for all results.
Interpretation:

Remove unsupported conclusions.

Limitations:
  • The certainty of the evidence was predominantly low to very low, limited by risk of bias, imprecision, and indirectness.
  • JX10's findings are derived from a single, small-sample, dose-exploratory study with no direct comparative data.
Conclusion:

Revise to reflect only the findings presented without unsupported claims.

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