Alteplase in Acute Ischemic Stroke: Putting the Guidelines into Practice

作者:Nagaraja Nandakumar; Adams Harold P Jr*
来源:CNS Drugs, 2014, 28(11): 1035-1045.
DOI:10.1007/s40263-014-0204-0

摘要

Intravenous recombinant tissue plasminogen activator (rt-PA or alteplase) is the only approved medical intervention for treatment of acute ischemic stroke within the first hours of symptom onset. In this article, we review the preliminary studies of rt-PA in acute ischemic stroke that led to US FDA approval of its use within 3 h of symptom onset. The studies on rt-PA for use beyond 3 h of symptom onset and future reperfusion therapies are discussed. Overviews of the clinical presentation and treatment of acute ischemic stroke and stroke systems of care are described.

  • 出版日期2014-11