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Community Experience With Intravenous Thrombolysis for Acute Stroke

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Thrombolytic Therapy for Acute Stroke

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

The US Food and Drug Administration (FDA) approved intravenous tissue plasminogen activator (t-PA) as treatment for acute ischemic stroke in June 1996, based on the results of the National Institute of Neurological Disorders and Stroke (NINDS) study (see Chapter 7). The next important question was whether t-PA treatment could be applied in nonstudy community medical centers with a feasibility, safety, and efficacy comparable to that of NINDS trial. This question was answered by many community studies, which evaluated t-PA therapy in acute ischemic stroke. This chapter discusses community experience with intravenous t-PA in stroke treatment from 1996 to the present. Those studies are discussed in chronological order, highlighting the outcome and complication rates of each. Table 1 summarizes the results.

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References

  1. Chiu D, Krieger D, Villar-Cordova C, et al. Intravenous tissue plasminogen activator for acute ischemic stroke feasibility, safety, and efficacy in the first year of clinical practice. Stroke 1998; 29:18–22.

    PubMed  CAS  Google Scholar 

  2. Grond M, Stenzel C, Schmulling S, et al. Early intravenous thrombolysis for acute ischemic stroke in a community-based approach. Stroke 1998; 29:1544–1549.

    PubMed  CAS  Google Scholar 

  3. Tanne D, Bates V, Verro P, et al. Initial clinical experience with IV tissue plasminogen activator for acute ischemic stroke: a multicenter survey. Neurology 1999; 53:424–427.

    PubMed  CAS  Google Scholar 

  4. Egan R, Lutsep HL, Clark WM, et al. Open label tissue plasminogen activator for stroke: The Oregon experience. J Stroke Cerebrovasc Dis 1999; 8(5):287–290.

    Article  PubMed  CAS  Google Scholar 

  5. Katzan I, Furlan A, Lloyd L, et al. Use of tissue-type plasminogen activator for acute ischemic stroke: the Cleveland area experience. JAMA 2000; 283:1151–1158.

    Article  PubMed  CAS  Google Scholar 

  6. Katzan I, Hammer M, Furlan A. Quality improvement and tissue-type plasminogen activator for acute ischemic stroke. A Cleveland update. Stroke 2003; 34:799–800.

    Article  PubMed  CAS  Google Scholar 

  7. Wang D, Rose JA, Honings DR, Garwacki DJ, Milbrandt JC. Treating acute stroke patients with intravenous t-PA: the OSF Stroke Network experience. Stroke 2000; 31:77–81.

    PubMed  CAS  Google Scholar 

  8. Albers GW, Bates V, Clark W, et al. Intravenous tissue-type plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) study. JAMA 2000; 283:1145–1150.

    Article  PubMed  CAS  Google Scholar 

  9. Chapman KM, Woolfenden AR, Graeb D, et al. Intravenous tissue plasminogen activator for acute ischemic stroke. Stroke 2000; 31(12):2920–2924.

    PubMed  CAS  Google Scholar 

  10. Barber PA, Zhang J, Demchuk A, Hill M, Buchan A. Why are stroke patients excluded from TPA therapy? Neurology 2001; 56:1015–1020.

    PubMed  CAS  Google Scholar 

  11. Teal P, Hill MD, Buchan AM. Canadian Aactivase for Stroke Effectiveness Study (CASES). Available at http://www.thrombolysis-acute-stroke-therapy.org/pdf/78.pdf, 77. Accessed May 5, 2002.

  12. Lopez-Yunez AM, Bruno A, Willliams LS, et al. Protocol violations in community-based rt-PA stroke treatment are associated with symptomatic intracerebral hemorrhage. Stroke 2001;32(12):16.

    Google Scholar 

  13. Hans-Christian Koennecke, Nohr R, Leistner S, Marx P. Intravenous tPA for ischemic stroke team. Performance over time, safety and efficacy in a single center-2-year experience. Stroke 1 A.D.; 32(5):1074–1078.

    Google Scholar 

  14. Grotta J, Burgin WS, El-Mitwalli A, et al. Intravenous tissue-type plasminogen activator therapy for ischemic stroke. Arch of Neurology 2001; 58(12):2009–2013.

    Article  CAS  Google Scholar 

  15. Trouillas P, et al. Thrombolysis with intravenous rt-PA in a series of 100 cases of acute carotid territory stroke. Stroke 1998; 29:2529–2540.

    PubMed  CAS  Google Scholar 

  16. Trouillas P, Nighoghossian N, Derex L, Honnorat J. Prognosis at 5 years of acute cerebral infarcts of the carotid territory treated by intravenous rt-PA: data from the Lyon thrombolysis registry. Stroke 2002; 33(1):395. (Abstract)

    Google Scholar 

  17. Trouillas P, Nighoghosian N, Derex L, et al. Final Resultsof the Lyon rtPA Protocol (200 cases): Effect of intravenous rtPA within 7 hours without radiological and clinical exclusions in carotid territory acute cerebral infarcts. Letter, 2003.

    Google Scholar 

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© 2005 Humana Press Inc., Totowa, NJ

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Al-Khoury, L., Jackson, C.M. (2005). Community Experience With Intravenous Thrombolysis for Acute Stroke. In: Lyden, P.D. (eds) Thrombolytic Therapy for Acute Stroke. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-933-8:149

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  • DOI: https://doi.org/10.1385/1-59259-933-8:149

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-398-5

  • Online ISBN: 978-1-59259-933-2

  • eBook Packages: MedicineMedicine (R0)

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