Thrombolytic therapy for acute ischemic stroke

被引:51
作者
Blakeley, Jaishri O. [1 ]
Llinas, Rafael H. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21218 USA
关键词
acute ischemic stroke; thrombolytic therapy; revascularization; rt-PA; intra-arterial thrombolysis;
D O I
10.1016/j.jns.2007.04.031
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:55 / 62
页数:8
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