Intravenous Thrombolysis and Risk Factors for Ischemic Stroke

Journal of Nepal Medical Association

article

Shakti Shrestha¹  Ramesh Sharma Poudel²  Lekh Jung Thapa³  Dipendra Khatiwada⁴ 

[1] Shree Medical and Technical College;Chitwan Medical College Teaching Hospital;National Institute of Neurological and Allied Sciences;College of Medical Sciences Teaching Hospital

关键词: alteplase;    ischemic stroke;    risk factors;    rt-PA;    thrombolysis.;   

DOI  :  10.31729/jnma.2615

学科分类：社会科学、人文和艺术（综合）

来源: Nepal Medical Association since

【 摘 要 】

Thrombolysis is one of the proven potential treatments for the management of acute ischemic stroke. Intravenous recombinant tissue-plasminogen activator (rt-PA) is the only medically approved biological thrombolysing agent for the treatment of acute ischemic stroke within 4.5h of stroke (2.2% symptomatic intracerebral haemorrhage, 12.7% mortality and 58.0% functional independence), but following the guideline and criteria provided by National Institute of Neurological Disorder and Stroke (NINDS) and SITS (Safe Implementation of Thrombolysis in Stroke) studies. Nepal needs to evidently introduce intravenous rt-PA in its clinical setting for treatment of acute ischemic stroke, which has been approved for more than a decade ago in developed countries. Several modifiable and non-modifiable risk factors can affect the outcomes of the treatment with intravenous rt-PA. Early modification of factors predicting the risk outcomes can be a beneficial tool to justify the thrombolytic treatment. This review aims to discuss the major studies on thrombolysis using rt-PA and main factors that can affect the outcomes of treatment in ischemic stroke.

【 授权许可】

CC BY