Thrombolysis (Alteplase)

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation Minimally Invasive Surgery Thrombolysis (Alteplase)

In adult patients (18-80 years) with spontaneous supratentorial intracerebral hemorrhage (volume ≥30 mL, GCS 4-14), does minimally invasive catheter evacuation followed by alteplase instillation, compared with standard medical care alone, improve functional outcome (mRS 0-3) at 365 days?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Intraventricular Hemorrhage Thrombolysis (Alteplase) External Ventricular Drain (EVD)

In adult patients (18-75 years) with spontaneous supratentorial ICH (<30 mL) and obstructive IVH requiring an EVD, does intraventricular administration of alteplase via the EVD, compared with EVD management with or without saline irrigation, improve functional outcome at 180 days?