Thrombolytic therapy for acute ischemic stroke.
The treatment of acute stroke changed dramatically since the publication of the NINDS trail for IV rt-PA for acute stroke. While this was not the first trial, it was the first positive trial. Subsequently there has been an explosion in acute treatment modalities since the NINDS trial showed that acute stroke treatment is feasible. The following chapter reviews the thrombolysis trials, the inclusion and exclusion criteria of intravenous and intra-arterial use of pharmacologic and mechanical thrombolysis in acute ischemic stroke. Also discussed are the new pharmacotherapies and mechanical devices that will hopefully expand the treatment window and make thrombolysis safer and more effective.
Blakeley
Jaishri O
JO
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Llinas
Rafael H
RH
D000208:Acute Disease; D017130:Angioplasty; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use*; D001488:Basilar Artery / Q000601:surgery; D002986:Clinical Trials as Topic; D017327:Clinical Trials, Phase IV as Topic; D006801:Humans; D007262:Infusions, Intravenous; D007511:Ischemia; D013300:Streptokinase / Q000627:therapeutic use; D020521:Stroke / Q000188:drug therapy* / Q000601:surgery; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use; D017585:Ultrasonography, Doppler, Transcranial
D000925:Anticoagulants; D013300:Streptokinase; D010959:Tissue Plasminogen Activator