Stroke Treatment: Current News and Developments

Topçuoğlu, Mehmet Akif; Arsava, Ethem Murat

doi:10.4274/tnd.47640

Cited by 1 publication

(1 citation statement)

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“…Subgroup analyses indicated that thrombectomy was also an effective method in patients who did not receive IV tPA. However, in order for thrombectomy to become a gold standard or an alternative alone, its effectiveness against the combination therapy must also be demonstrated by randomized controlled trials (95). Nowadays, it should be known that standard and full dose IV tPA should be administered within the first 4.5 hours to any patient who will undergo thrombectomy and with no contraindications.…”

Section: Question: Is IV Tpa Administered In Terminally Ill Patients?mentioning

confidence: 99%

Intravenous Thrombolytic Therapy in Acute Stroke: Frequent Systemic Problems and Solutions

Topçuoğlu¹,

Arsava²,

Özdemi̇r³

et al. 2018

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Ad dress for Cor res pon den ce/Ya z›fl maOne of the most important reasons why the use of the intravenous (IV) tissue plasminogen activator (tPA), which is one of the key elements of acute ischemic stroke treatment, is not sufficiently widespread is the fact that many common questions have not been adequately answered. In this review, questions about systemic nonneurologic conditions, problems related with IV tPA treatment and complications of treatment, which were collected from our colleagues practicing in Turkey and which are more important in clinical practice, were answered on the basis of the current literature and clear recommendations are made. Keywords: Stroke, thrombectomy, contraindication, avoidance, cerebral hemorrhage Akut iskemik inme tedavisinin ana elementlerinin başında gelen intravenöz (IV) doku plazminojen aktivatörü (tPA) kullanımının yeterince yaygınlaşamamasının en önemli nedenlerinden biri sık karşılaşılan birçok soruya yeterince yanıt veril(e)memiş olmasıdır. Bu derlemede akut inmede IV tPA tedavisi ile ilgili olarak meslektaşlarımızdan toplanan, daha çok uygulamada önemi olan sistemik soru ve sorunlar ile tedavinin komplikasyonlarına dair, sorulara güncel literatür temelinde yanıt verilmiş ve net tavsiyelerde bulunulmuştur. Anahtar Kelimeler: Strok, trombektomi, kontrendikasyon, kaçınma, serebral kanama Abstract Öz

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Section: Question: Is IV Tpa Administered In Terminally Ill Patients?mentioning

confidence: 99%