Reborn Workhorse, CT, Pulls the Wagon Toward Thrombolysis Beyond 3 Hours

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Reborn workhorse, CT, pulls the wagon toward thrombolysis beyond 3 hours.

Computed tomography (CT) is the time-honored workhorse of every emergency room and has revolutionized the speed and accuracy of the diagnosis of stroke. It is used to select patients for thrombolysis, the only approved drug treatment for ischemic brain infarction. However, the criteria for eligibility are very restrictive, notably with respect to the accepted 3-hour window. Only in a few center...

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CT-based intravenous thrombolysis 3-4.5 hours after acute ischemic stroke in clinical practice.

BACKGROUND Outcome of stroke patients selected with cerebral computed tomography for intravenous thrombolysis administered in clinical routine from 3 to 4.5 hours after symptoms onset is not well investigated. Aim of this single-center, prospective, observational study was to compare the safety and efficacy of intravenous alteplase given in routine clinical praxis 181-270 minutes (late) and wit...

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Intra-arterial thrombolysis within 3 hours: where is the evidence?

Stroke welcomes Letters to the Editor and will publish them, if suitable, as space permits. Letters must reference a Stroke published-ahead-of-print article or an article printed within the past 3 weeks. The maximum length is 750 words including no more than 5 references and 3 authors. Please submit letters typed double-spaced. Letters may be shortened or edited. Include a completed copyright t...

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The effect of activated factor VII for intracerebral hemorrhage beyond 3 hours versus within 3 hours.

BACKGROUND AND PURPOSE Recombinant-activated factor VII (rFVIIa) is an investigational treatment for intracerebral hemorrhage (ICH). We have evaluated the drug's treatment effect based on time to treatment. METHODS ICH patients treated up to 4 hours from symptom onset were divided based on time to treatment: <or=3 hours (3H) and 3 to 4 hours (4H). Head CT was done at baseline and 24 hours. Ou...

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Safety and Clinical Outcome of Thrombolysis in Ischaemic Stroke Using a Perfusion CT Mismatch between 3 and 6 Hours

OBJECTIVE It may be possible to thrombolyse ischaemic stroke (IS) patients up to 6 h by using penumbral imaging. We investigated whether a perfusion CT (CTP) mismatch can help to select patients for thrombolysis up to 6 h. METHODS A cohort of 254 thrombolysed IS patients was studied. 174 (69%) were thrombolysed at 0-3 h by using non-contrast CT (NCCT), and 80 (31%) at 3-6 h (35 at 3-4.5 h and...

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ژورنال

عنوان ژورنال: Stroke

سال: 2004

ISSN: 0039-2499,1524-4628

DOI: 10.1161/01.str.0000115165.43847.ed