Doctors divided over controversial thrombolysis review

The benefits of thrombolysis do not necessarily outweigh the risk of intracranial haemorrhage, according to a review commissioned by the Australasian College of Emergency Medicine (ACEM).    

The review published this week does show that thrombolysis with alteplase (tPA) administered within 4.5 hours of ischaemic stroke increases the proportion of participants back to independence at 90 days after stroke.