Evidence map›Paper›PMID 42079672›Full record

ReviewResearch and practice in thrombosis and haemostasis2026

Toward improved thrombolysis in ischemic stroke: targeting nonfibrin components.

Simon F De Meyer

Abstract readReview
In one paragraph

Review in Research and practice in thrombosis and haemostasis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Simon F De MeyerLaboratory for Thrombosis Research, Department of Cardiovascular Sciences, KU Leuven Campus Kulak, Kortrijk, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A State of the Art lecture titled "Targeting nonfibrin components in ischemic stroke" was presented at the International Society on Thrombosis and Haemostasis Congress in 2025. Fibrinolysis using recombinant tissue plasminogen activators remains the primary pharmacologic approach for reperfusion therapy in ischemic stroke. Its clinical benefit has been well established over the past 3 decades. However, fibrinolytic therapy is not universally effective, and its limitations have become increasingly apparent. Recent research has provided deeper insights into acute ischemic stroke thrombus composition and architecture, revealing complex structures containing not only fibrin but also cellular and extracellular components that contribute to fibrinolysis resistance. These findings have led to the development of novel strategies aimed at targeting nonfibrin components to enhance overall thrombolysis and overcome fibrinolysis resistance. This review highlighted the current evidence from studies on ischemic stroke thrombi that underpin emerging thrombolytic strategies that target nonfibrin components and discusses their potential clinical implications. Finally, relevant new data on this topic presented during the 2025 International Society on Thrombosis and Haemostasis Congress were summarized.

Indexed as

Brain IschemiaFibrinolysisIschemic StrokeThrombolytic TherapyHumansThrombosisTissue Plasminogen ActivatorTissue Plasminogen Activatorischemic stroke thrombineutrophil extracellular trapsstrokethrombolysisvon Willebrand factor

Identifiers

PMID42079672
PMCPMC13134030

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.