Safety and Efficacy of Thrombolytic Therapy Using rt-PA (Alteplase) in Acute Ischemic Stroke
Author(s) -
Palanisamy Sivanandy,
Binny Thomas,
Krishnan Vijayan,
Sumathy Arunachalam
Publication year - 2011
Publication title -
isrn neurology
Language(s) - English
Resource type - Journals
eISSN - 2090-5513
pISSN - 2090-5505
DOI - 10.5402/2011/618624
Subject(s) - medicine , ischemic stroke , stroke (engine) , cardiology , fibrinolytic agent , tissue plasminogen activator , ischemia , engineering , mechanical engineering
The aim of this study was to evaluate the efficacy and safety of thrombolytic therapy. Our study enrolled 23 patients out of which 2 patients died due to ICH; we also found that only 39% of patients reached hospital within stroke window, and for those treated, mean NIHSS during admission was 14.0, but drastic improvement was shown after 24 hours of treatment, that is, 9.89 ( P < 0.0001), and at discharge, it was 5.1 ( P < 0.0001) which showed a clear impact of the treatment, and around 60% of patients were discharged within an mRS score of 1 and 2. Hence, it was found that thrombolytic therapy was beneficial, efficacious, and safe if used within 3 to 4.5 hours.
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