Pilot and Preliminary Studies of Thrombolytic Therapy for Stroke

  • Steven R. Levine
  • E. Clarke Haley
  • Patrick Lyden
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

The demonstration that tissue plasminogen activator (t-PA) is clinically effective for acute ischemic stroke was based on many important studies over the past two decades that then led to groundbreaking preliminary clinical trials. This chapter highlights and discusses these studies and their historical significance. Thrombolytic therapy is an inherently attractive treatment for ischemic stroke based on the known pathological and angiographic substrates of ischemic cerebrovascular disease (see  Chapters 1 3). The majority of acute ischemic strokes are the direct consequences of atherothrombosis or thromboembolism of a cerebral or precerebral artery (see  Chapter 2). The critical event is usually the formation of an acute thrombus, so the rationale for thrombolytic treatment is to achieve arterial recanalization with a relatively safe agent soon enough to improve patient outcome.

Keywords

Placebo Starch Ischemia Aspirin Heparin 

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Copyright information

© Humana Press Inc., Totowa, NJ 2005

Authors and Affiliations

  • Steven R. Levine
    • 1
  • E. Clarke Haley
    • 2
  • Patrick Lyden
    • 3
    • 4
  1. 1.Stroke Program, Department of NeurologyThe Mount Sinai School of Medicine and Medical CenterNew York
  2. 2.Department of NeurologyUniversity of Virginia Health SystemCharlottesville
  3. 3.UCSD Stroke CenterUniversity of CaliforniaSan Diego
  4. 4.Veteran’s Affairs Medical CenterSan Diego

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