The C ombined Approach to L ysis Utilizing E ptifibatide a nd r t-PA in Acute Ischemic Stroke
Author(s) -
Arthur Pancioli,
Joseph P. Broderick,
Thomas G. Brott,
Thomas A. Tomsick,
Jane Khoury,
Judy A. Bean,
Gregory del Zoppo,
Dawn Kleindorfer,
Daniel Woo,
Pooja Khatri,
John Castaldo,
James L. Frey,
James Gebel,
Scott E. Kasner,
Chelsea S. Kidwell,
Thomas Kwiatkowski,
Richard Libman,
Richard S. Mackenzie,
Phillip Scott,
Sidney Starkman,
R. Jason Thurman
Publication year - 2008
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.517656
Subject(s) - medicine , eptifibatide , thrombolysis , stroke (engine) , clinical endpoint , randomized controlled trial , myocardial infarction , bolus (digestion) , fibrinolytic agent , tissue plasminogen activator , anesthesia , surgery , percutaneous coronary intervention , mechanical engineering , engineering
Multiple approaches are being studied to enhance the rate of thrombolysis for acute ischemic stroke. Treatment of myocardial infarction with a combination of a reduced-dose fibrinolytic agent and a glycoprotein (GP) IIb/IIIa receptor antagonist has been shown to improve the rate of recanalization versus fibrinolysis alone. The combined approach to lysis utilizing eptifibatide and recombinant tissue-type plasminogen activator (rt-PA) (CLEAR) stroke trial assessed the safety of treating acute ischemic stroke patients within 3 hours of symptom onset with this combination.
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