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Rescue thrombolysis for failure of primary thrombolysis cannot be justified

BMJ 1999; 318 doi: (Published 23 January 1999) Cite this as: BMJ 1999;318:261
  1. A G C Sutton, Research fellow (
  1. Department of Cardiology, South Cleveland Hospital, Middlesbrough TS4 3BW

    EDITOR—Drenth et al suggest a policy of repeat thrombolysis if initial thrombolysis fails,1 but their arguments are flawed.

    Firstly, they state that a routine policy of rescue angioplasty cannot be justified from a review of the literature, although they fail to mention that the trial by Ellis et al showed a significant reduction in the incidence of death or severe heart failure in the rescue angioplasty group compared with the conservative group.2 …

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