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1 after usual care versus usual care alone for acute ischemic stroke.
2 rovide neuroprotection in an animal model of acute ischemic stroke.
3 ecommended strategies to reduce DTN times in acute ischemic stroke.
4 ients and providers in considering r-tPA for acute ischemic stroke.
5 ombolysis remains the mainstay treatment for acute ischemic stroke.
6 tributor to delays in timely tPA therapy for acute ischemic stroke.
7 me to thrombolysis is crucial for outcome in acute ischemic stroke.
8 TN) time within 60 minutes for patients with acute ischemic stroke.
9 ht of the severe underuse of thrombolysis in acute ischemic stroke.
10           They had the signature features of acute ischemic stroke.
11 lity and functional outcome in patients with acute ischemic stroke.
12 ta on its impact in endovascular therapy for acute ischemic stroke.
13 that can decrease ITN time for patients with acute ischemic stroke.
14 at discharge and discharge to home following acute ischemic stroke.
15 ed to translate to efficacious therapies for acute ischemic stroke.
16  outcome in patients treated with IV tPA for acute ischemic stroke.
17 meningeal collateral status in patients with acute ischemic stroke.
18 n and extend the therapeutic time window for acute ischemic stroke.
19 meningeal collateral status in patients with acute ischemic stroke.
20 essment as a neuroprotective agent following acute ischemic stroke.
21 alteplase is the only approved treatment for acute ischemic stroke.
22 anaging hypertensive patients suffering from acute ischemic stroke.
23 ntriguing treatment options in patients with acute ischemic stroke.
24  to improve the timeliness of reperfusion in acute ischemic stroke.
25  adults (aged 15-44 years) hospitalized with acute ischemic stroke.
26 ) is used for the treatment of patients with acute ischemic stroke.
27 PA as a thrombolytic agent in the setting of acute ischemic stroke.
28  the evaluation and treatment of adults with acute ischemic stroke.
29 approved by the FDA for use in patients with acute ischemic stroke.
30 europrotection as a therapeutic strategy for acute ischemic stroke.
31 timuli have emerged as important triggers of acute ischemic stroke.
32 r it would reduce disability in humans after acute ischemic stroke.
33 eported to correlate with poor outcome after acute ischemic stroke.
34 window for effective thrombolytic therapy in acute ischemic stroke.
35 inogen activator) for selected patients with acute ischemic stroke.
36 esently under evaluation in the treatment of acute ischemic stroke.
37 ic issues in the management of patients with acute ischemic stroke.
38 rable benefit-risk profile for patients with acute ischemic stroke.
39 ed mortality in critically ill patients with acute ischemic stroke.
40 rstanding of the evolution and outcome after acute ischemic stroke.
41 d to attempt maximum rates of recovery after acute ischemic stroke.
42 t be withheld in these complex patients with acute ischemic stroke.
43 r conventional treatment (control group) for acute ischemic stroke.
44 16, and received mechanical thrombectomy for acute ischemic stroke.
45 ssion levels are differentially regulated in acute ischemic stroke.
46 ve prothrombolytic potential in treatment of acute ischemic stroke.
47 y of a translational thromboembolic model of acute ischemic stroke.
48 t of endovascular treatment in patients with acute ischemic stroke.
49  ground breaking changes in the treatment of acute ischemic stroke.
50 mbra from the ischemic core in patients with acute ischemic stroke.
51 protect neonatal brain from hemorrhage after acute ischemic stroke.
52 ssociation between serum UA and prognosis of acute ischemic stroke.
53 uPAR promotes neurological recovery after an acute ischemic stroke.
54 e, which might become useful in treatment of acute ischemic stroke.
55 n M2 occlusions in a cohort of patients with acute ischemic stroke.
56 atelet therapy before tPA administration for acute ischemic stroke.
57 udy from the China Antihypertensive Trial in Acute Ischemic Stroke.
58 C potentiates neuroinflammatory responses to acute ischemic stroke.
59 arct size in acute myocardial infarction and acute ischemic stroke.
60  Administration in 1996 for the treatment of acute ischemic stroke.
61 compared with alteplase for the treatment of acute ischemic stroke, 1 that demonstrated superiority o
62                   Among 30,947 patients with acute ischemic stroke, 15,297 (49.4%) were admitted to d
63 e (38%), intracerebral hemorrhage (31%), and acute ischemic stroke (18%).
64 , we identified 554 ventilated patients with acute ischemic stroke (19%), 936 ventilated patients wit
65                         Of all patients with acute ischemic stroke, 26% required ICU admission.
66                      Of 29 618 patients with acute ischemic stroke, 283 (1.0%) were treated within 4.
67 a on 220 patients with DM who presented with acute ischemic stroke, 43 of whom were managed with and
68                          Among patients with acute ischemic stroke, admission to a designated stroke
69 HSS documentation in 1 184 288 patients with acute ischemic stroke admitted to 1704 GWTG-Stroke hospi
70 d long-term mortality in older patients with acute ischemic stroke admitted to ICUs is lower than pre
71  as a strategy to reduce the consequences of acute ischemic stroke (AIS) and NMDA receptors remain a
72            Timely reperfusion is critical in acute ischemic stroke (AIS) and ST-segment-elevation myo
73 plasminogen activator (tPA) in patients with acute ischemic stroke (AIS) are time dependent and guide
74                                              Acute Ischemic Stroke (AIS) can be cured by trombolytic
75  improves clinical outcomes in patients with acute ischemic stroke (AIS) caused by a large vessel occ
76 5.9 years +/- 12.3; range, 25-86 years) with acute ischemic stroke (AIS) due to middle cerebral arter
77       A relevant proportion of patients with acute ischemic stroke (AIS) have elevated levels of card
78 ry (cICA) occlusion is a recognized cause of acute ischemic stroke (AIS) in sickle cell disease (SCD)
79                                              Acute ischemic stroke (AIS) is the leading cause of disa
80 ates of tPA use over time among hospitalized acute ischemic stroke (AIS) patients.
81 olized rabbits and clinical rating scores in acute ischemic stroke (AIS) patients; however, the cellu
82 on between thyroid hormones and prognosis of acute ischemic stroke (AIS) reported conflicting results
83                                Patients with acute ischemic stroke (AIS) suffer from infections assoc
84 acerebral hemorrhage (sICH) in patients with acute ischemic stroke (AIS) treated with intravenous thr
85 is known as to whether long-term outcomes of acute ischemic stroke (AIS) vary by race/ethnicity.
86 al thrombectomy (MT) is recommended to treat acute ischemic stroke (AIS) with a large vessel occlusio
87 factor for coronary artery disease (CAD) and acute ischemic stroke (AIS), but there are numerous repo
88      They are also frequently observed after acute ischemic stroke (AIS), indicating poor functional
89 e TSC is a promising drug candidate to treat acute ischemic stroke (AIS), we tested the hypothesis th
90 efficient use of intravenous thrombolysis in acute ischemic stroke (AIS).
91 timating clinical outcomes for patients with acute ischemic stroke (AIS).
92 issue plasminogen activator (tPA) therapy in acute ischemic stroke (AIS).
93 window from 3 to 4.5 hours for patients with acute ischemic stroke (AIS).
94 ted with better neurologic outcome following acute ischemic stroke (AIS).
95 a promising alternative for the treatment of acute ischemic stroke (AIS).
96                  Patients who presented with acute ischemic stroke and a large vessel occlusion in th
97                 There were 187 patients with acute ischemic stroke and continuous heart rhythm monito
98 gnettes in which they had either suffered an acute ischemic stroke and could be treated with thrombol
99 e been receiving antiplatelet therapy before acute ischemic stroke and could face an increased risk f
100 t is particularly sensitive for detection of acute ischemic stroke and differentiation of acute strok
101 terpretation of magnetic resonance images of acute ischemic stroke and how they are used to select pa
102  echocardiography in 255 patients with first acute ischemic stroke and in 209 control subjects matche
103 e observational study of 94474 patients with acute ischemic stroke and known history of AF admitted f
104 ta in 100 patients with anterior-circulation acute ischemic stroke and large vessel occlusion who und
105 essful revascularization among patients with acute ischemic stroke and large vessel occlusion.
106 Medical Center in Nashville, Tennessee, with acute ischemic stroke and later received a diagnosis of
107              Outcomes for some patients with acute ischemic stroke and moderate to severe neurologica
108 hanical thrombectomy in select patients with acute ischemic stroke and proximal artery occlusions has
109 lts suggest that CEPO may be useful to treat acute ischemic stroke and supports the study of CEPO in
110 urrent stroke and cardiovascular outcomes in acute ischemic stroke and transient ischemic attack (TIA
111 re most likely to benefit from therapies for acute ischemic stroke and whether endovascular thrombect
112                All 3 patients presented with acute ischemic strokes and had a history of epidural spi
113                                Patients with acute ischemic strokes and LVO in M2 segments presenting
114 rospective cohort study pooled patients with acute ischemic strokes and LVO isolated to M2 segments f
115 proved in the United States for treatment of acute ischemic stroke, and has limitations.
116 ave evaluated hypothermia as a treatment for acute ischemic stroke, and no controlled trials of hypot
117 ogen activator (tPA) is the only therapy for acute ischemic stroke approved by the Food and Drug Admi
118                            All patients with acute ischemic stroke are in need of hyperacute secondar
119 s tissue-type plasminogen activator (tPA) in acute ischemic stroke are time dependent, and guidelines
120 venous tissue-plasminogen activator (tPA) in acute ischemic stroke are time-dependent.
121                                              Acute ischemic strokes are associated with poor outcomes
122 tiganel was not efficacious in patients with acute ischemic stroke at either of the tested doses, and
123 estigate the outcomes of patients who had an acute ischemic stroke attributed to an anterior circulat
124 is decisions for incapacitated patients with acute ischemic stroke because the risks and benefits of
125                          Among patients with acute ischemic stroke, black patients had lower mortalit
126  (rt-PA) improves outcomes for patients with acute ischemic stroke, but current approved use is limit
127 of endovascular therapy to standard care for acute ischemic stroke, but pointed out to the need and d
128  Thrombolysis is widely used to intervene in acute ischemic stroke, but reestablishment of circulatio
129 rtension are correlated with poor outcome in acute ischemic stroke, but the effect of reducing or aug
130  (t-PA) for patients with moderate-to-severe acute ischemic stroke, but whether a combined approach i
131 for Medicare beneficiaries hospitalized with acute ischemic stroke, but whether it is necessary to in
132 ovide neuroprotection in mechanical model of acute ischemic stroke by inducing hypothermia, a conditi
133                                  METHODS AND Acute ischemic stroke cases entered into GWTG (Get With
134                             In patients with acute ischemic stroke caused by a proximal intracranial
135                             In patients with acute ischemic stroke caused by a proximal intracranial
136           Intra-arterial treatment (IAT) for acute ischemic stroke caused by intracranial arterial oc
137 favorable clinical outcomes in patients with acute ischemic stroke caused by intracranial proximal oc
138 ciated with better outcomes in patients with acute ischemic stroke caused by large artery occlusion.
139 th IA r-proUK within 6 hours of the onset of acute ischemic stroke caused by MCA occlusion significan
140                                              Acute ischemic stroke caused by proximal intracranial ar
141                      An algorithm using only acute ischemic stroke codes (433.x1, 434.x1, 436) had a
142  trials comparing endovascular treatment for acute ischemic stroke compared to the previous standard
143 ke risk factors among those hospitalized for acute ischemic stroke continued to increase from 2003-20
144                             In patients with acute ischemic stroke, continuous transcranial Doppler a
145     The clusters identified show promise for acute ischemic stroke detection.
146 vestinel administered up to 6 hours after an acute ischemic stroke did not improve functional outcome
147                The majority of patients with acute ischemic stroke do not receive any form of reperfu
148  of symptomatic carotid web in patients with acute ischemic stroke due to intracranial large vessel o
149                                           In acute ischemic stroke due to large artery occlusion, mec
150 n were observed in 2.5% of the patients with acute ischemic stroke due to large vessel occlusion and
151              We treated all patients who had acute ischemic stroke due to occlusion of the middle cer
152                          Among patients with acute ischemic stroke due to occlusions in the proximal
153   In patients receiving intravenous t-PA for acute ischemic stroke due to occlusions in the proximal
154 onsiderations of intra-arterial treatment of acute ischemic stroke emphasizes the need for well desig
155 0 045 consecutive emergency department-based acute ischemic stroke encounters arriving </= 3 hours af
156                          Among patients with acute ischemic stroke, endovascular therapy with mechani
157 patients aged 18 to 45 years with first-ever acute ischemic stroke enrolled in the multicenter Italia
158                                          For acute ischemic stroke, fibrinolysis is the only treatmen
159 However, 23% to 40% of ideal candidates with acute ischemic stroke for reperfusion are not treated, p
160 has been the key treatment for patients with acute ischemic stroke for the past decade.
161 ble and recommended treatment modalities for acute ischemic stroke from an interdisciplinary perspect
162 of a telestroke network in the management of acute ischemic stroke from the perspectives of a network
163 plasminogen activator (tPA) in patients with acute ischemic stroke, guidelines recommend door-to-imag
164                    Streptokinase therapy for acute ischemic stroke has not been shown to be effective
165                             The treatment of acute ischemic stroke has undergone dramatic changes rec
166        Recent clinical trials in adults with acute ischemic stroke have demonstrated increased mortal
167       Several trials involving patients with acute ischemic stroke have shown better functional outco
168 indings in this study are as follows: first, acute ischemic stroke hospitalization rates increased si
169  health risk behaviors were identified among acute ischemic stroke hospitalizations in young adults.
170                Endovascular intervention for acute ischemic stroke improves revascularization.
171 oral trends, and early clinical outcomes for acute ischemic stroke in a large contemporary cohort.
172 A small proportion of patients admitted with acute ischemic stroke in Cleveland received tPA; they ex
173 esearch, we developed a preclinical model of acute ischemic stroke in dogs.
174 anical thrombectomy with stent retrievers in acute ischemic stroke in the anterior circulation in ter
175 nclusions and Relevance: Among patients with acute ischemic stroke in the anterior circulation underg
176 14-February 2016) included 150 patients with acute ischemic stroke in the anterior circulation, highe
177 Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN) in w
178  Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) was
179 Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN).
180 Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands.
181 clinical trial of endovascular treatment for acute ischemic stroke in the Netherlands.
182               Approved treatment options for acute ischemic stroke in the United States and Canada ar
183 tion of increasing hospitalization rates for acute ischemic stroke in young adults coexistent with in
184 h atrial fibrillation who had experienced an acute ischemic stroke, inadequate therapeutic anticoagul
185  advances in the treatment and prevention of acute ischemic stroke, including the current state of en
186 study, the prevalence of hospitalizations of acute ischemic stroke increased among all age and gender
187 issue plasminogen activator (IV tPA) use for acute ischemic stroke increased in Massachusetts in asso
188   The results of this trial in patients with acute ischemic stroke indicate that endovascular therapy
189 iscussed, including thrombolytic therapy for acute ischemic stroke, induced hypothermia for comatose
190                    Consecutive patients with acute ischemic stroke initially admitted to a non-thromb
191 system successfully classifies patients with acute ischemic stroke into determined etiologic categori
192                                              Acute ischemic stroke is a leading cause of serious disa
193 chemic stroke is rapidly developing.Although acute ischemic stroke is a major cause of adult disabili
194                                              Acute ischemic stroke is a major cause of mortality and
195                                              Acute ischemic stroke is associated with high concentrat
196 t the intra-arterial thrombolytic therapy of acute ischemic stroke is at least as effective as intrav
197  sedation and airway during thrombectomy for acute ischemic stroke is controversial due to lack of ev
198 ed data, additional research on treatment of acute ischemic stroke is needed.
199                            The management of acute ischemic stroke is rapidly developing.Although acu
200           Intravenous thrombolysis (IVT) for acute ischemic stroke is subject to label and guideline
201       A major limitation in thrombolysis for acute ischemic stroke is the restricted time window for
202               The most promising therapy for acute ischemic stroke is the use of a thrombolytic agent
203          The only treatment of patients with acute ischemic stroke is thrombolytic therapy, which ben
204 effectiveness of intravenous thrombolysis in acute ischemic stroke is time dependent.
205 s tissue-type plasminogen activator (tPA) in acute ischemic stroke is time dependent.
206                             The treatment of acute ischemic stroke is very similar to acute myocardia
207 d-based biomarkers with clinical utility for acute ischemic stroke (IS).
208                  In patients presenting with acute ischemic stroke, large aortic plaques are associat
209 ) is associated with reduced mortality after acute ischemic stroke, less is known about severe obesit
210 iterature regarding anesthetic management in acute ischemic stroke lies in the sedation level.
211 VIEW: Efforts in intra-arterial treatment of acute ischemic stroke mainly focus on new devices to rep
212  Intravenous thrombolysis is the mainstay of acute ischemic stroke management for any patient with di
213 fficacy of intravenous t-PA in patients with acute ischemic stroke may be enhanced in patients who ha
214       Early predictors of poor outcome after acute ischemic stroke may be useful in selecting patient
215  Cleveland community experience with tPA for acute ischemic stroke may differ from that reported in c
216  with diabetes mellitus (DM) presenting with acute ischemic stroke might influence the incidence of H
217 hibits remarkable neuroprotection in a mouse acute ischemic stroke model.
218 ompared mortality for patients admitted with acute ischemic stroke (n = 30,947) between 2005 and 2006
219                                Patients with acute ischemic stroke (n=1791) >/=45 years were identifi
220  the genotype distributions of patients with acute ischemic stroke (n=519) and healthy control subjec
221 tially benefit from endovascular therapy for acute ischemic stroke, nor was embolectomy shown to be s
222               All patients hospitalized with acute ischemic stroke or intracerebral hemorrhage in a l
223 e plasminogen activator (IV tPA) therapy for acute ischemic stroke outside a trial setting.
224                                  Consecutive acute ischemic stroke patients (1,645 patients; Acute ST
225 m that treatment disparities exist for older acute ischemic stroke patients and that the rates of thr
226 he neurologic deficit and quality of life of acute ischemic stroke patients and that the therapeutic
227 of life and brain functional connectivity in acute ischemic stroke patients and to explore the mechan
228                               We analyzed 99 acute ischemic stroke patients scanned within 6 hours of
229                                    Data from acute ischemic stroke patients treated with tPA within 3
230         An intent-to-treat population of 613 acute ischemic stroke patients was enrolled, with 547 of
231               A total of 194 samples from 76 acute ischemic stroke patients were analyzed.
232                                 One third of acute ischemic stroke patients were functionally depende
233                                 In total, 44 acute ischemic stroke patients were randomly divided to
234   INTRODUCTION: We aimed to identify whether acute ischemic stroke patients with known complete reper
235 ular therapy is an appropriate treatment for acute ischemic stroke patients within the t-PA window wh
236                                      Of 4782 acute ischemic stroke patients, 282 were underweight (BM
237 travenous thrombolysis) in the management of acute ischemic stroke patients.
238  imaging (PWI) can rapidly detect lesions in acute ischemic stroke patients.
239 on for determining brain tissue viability in acute ischemic stroke patients.
240 c rate of oxygen utilization (MR-CMRO(2)) in acute ischemic stroke patients.
241     Baseline UA levels were measured in 3284 acute ischemic stroke patients.
242 bectomy with the use of a stent retriever in acute ischemic stroke, performed by using a balloon guid
243 ood samples were drawn from 10 patients with acute ischemic stroke presenting within 24 h of symptom
244  We conclude that, in diabetic patients with acute ischemic stroke, prior and continued use of SU dru
245 of the literature relating to reperfusion in acute ischemic stroke published within the last year pro
246 DTN times for tPA treatment in patients with acute ischemic stroke remain suboptimal.
247 e stent retriever technique in patients with acute ischemic stroke remain uncertain because of lack o
248                   The effective treatment of acute ischemic stroke remains an important goal of moder
249 ween serum uric acid (UA) and outcomes after acute ischemic stroke remains debatable in human studies
250                  Management of patients with acute ischemic stroke remains multifaceted and includes
251                                Patients with acute ischemic stroke require immediate diagnostic worku
252 nt is now the new standard for patients with acute ischemic stroke resulting from proximal vessel occ
253  NXY-059 within six hours after the onset of acute ischemic stroke significantly improved the primary
254 nistration-approved thrombolytic therapy for acute ischemic stroke since 1996, thrombolysis remains u
255 ogen activator, the only approved therapy of acute ischemic stroke still remains unknown.
256                    Studies of anesthesia for acute ischemic stroke suggested that inadequate brain pe
257 ectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial in patients wi
258                                Patients with acute ischemic stroke symptom onset 24 hours or less bef
259 e series or case reports of patients with an acute ischemic stroke that evaluated a neurothrombectomy
260  a clinical perspective for the treatment of acute ischemic stroke, these data suggest that helium 1)
261 ssed 50 consecutively admitted patients with acute ischemic stroke through reviews of abstracted data
262  activator (r-tPA) in eligible patients with acute ischemic stroke to improve patients' functional re
263 ithin 8 hours after the onset of symptoms of acute ischemic stroke to receive either medical therapy
264   The concept of neuroprotective therapy for acute ischemic stroke to salvage tissue at risk and impr
265 e 2013 guidelines on the early management of acute ischemic strokes to specifically incorporate the f
266            We examined 371 988 patients with acute ischemic stroke transported by EMS and enrolled in
267    A cohort analysis of 1193 patients having acute ischemic stroke treated with intravenous tPA betwe
268                       Among patients with an acute ischemic stroke treated with intravenous tPA, thos
269  door-to-needle (DTN) times in patients with acute ischemic stroke treated with tissue-type plasminog
270 ndovascular therapy is a promising aspect of acute ischemic stroke treatment.
271 IAS) and Dose Escalation of Desmoteplase for Acute Ischemic Stroke Trial (DEDAS), and (b) another req
272  derived from the successful Desmoteplase in Acute Ischemic Stroke Trial (DIAS) and Dose Escalation o
273 ebo-controlled study involving patients with acute ischemic stroke using diffusion-weighted magnetic
274 r time from onset to recanalization (OTR) in acute ischemic stroke using endovascular therapy (ET) ha
275  of 5hmC in blood samples from patients with acute ischemic stroke was also significantly increased.
276       Tissue plasminogen activator (tPA) for acute ischemic stroke was approved by the U.S. Food and
277  claims data for Medicare beneficiaries with acute ischemic stroke was associated with considerably i
278 nctional outcome at 2 years in patients with acute ischemic stroke was similar to that reported at 90
279 s Treated With Neurothrombectomy Devices for Acute Ischemic Stroke) was a prospective, multicenter, o
280 n three hours after the onset of symptoms of acute ischemic stroke were at least 30 percent more like
281                                Subjects with acute ischemic stroke were scanned with T2*-weighted MRI
282 death, acute myocardial infarction (AMI), or acute ischemic stroke, were evaluated over time.
283 y increased at 24 and 48 h in patients after acute ischemic stroke when compared to control values, w
284 rrhagic transformation (HT) in patients with acute ischemic stroke who receive intra-arterial thrombo
285 WIFT PRIME) trial in patients with disabling acute ischemic stroke who underwent endovascular therapy
286 ontrolled trial involving 1722 patients with acute ischemic stroke who were randomly assigned to rece
287 ng 12 months of follow-up, the patients with acute ischemic stroke who were treated with t-PA within
288 achieve its maximum potential, patients with acute ischemic stroke will have to be carefully selected
289                   Endovascular treatment for acute ischemic stroke with a large vessel occlusion was
290                          Among patients with acute ischemic stroke with a proximal vessel occlusion,
291 n addition to standard care in patients with acute ischemic stroke with a small infarct core, a proxi
292                 Conclusion In the context of acute ischemic stroke with ipsilateral ICA nonattenuatio
293   To examine the prevalence of patients with acute ischemic stroke with known history of AF who were
294 ROCK activity is increased in patients after acute ischemic stroke with maximal activity occurring ab
295 arly valuable for treatment of patients with acute ischemic stroke with tissue plasminogen activator
296 T) compared with best medical management for acute ischemic strokes with large vessel occlusion (LVO)
297 tween May 1, 2010, and October 1, 2012, with acute ischemic stroke within 4.5 hours from symptom onse
298 issue plasminogen activator in patients with acute ischemic stroke within 6 h of onset.
299 o had a magnetic resonance imaging-confirmed acute ischemic stroke within the anterior circulation an
300       We randomly assigned 362 patients with acute ischemic stroke, within 4.5 hours after onset, to

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