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Medical Grand Rounds

Acute stroke therapy: Beyond IV tPA

Anthony J. Furlan, MD
Cleveland Clinic Journal of Medicine September 2002, 69 (9) 730-734;
Anthony J. Furlan
Medical Director, Cerebrovascular Center, Section of Stroke and Neurocritical Care, Department of Neurology, The Cleveland Clinic Foundation
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ABSTRACT

Although intravenous tissue plasminogen activator (IV tPA) has been approved for treating acute ischemic stroke, it must be given within 3 hours of stroke onset and only after ruling out hemorrhagic stroke by computed tomography. Several medical centers are turning to angiography to guide intra-arterial infusion of thrombolytic agents and mechanical endovascular interventions.

Footnotes

  • ↵* The author has indicated that he has received grant or research support from the Possis corporation, serves as a consultant for the Abbott and Lilly corporations, and is on the speakers’ bureau of the Bristol-Myers Squibb corporation. This paper discusses therapies that are not approved by the US Food and Drug Administration for the use under discussion.

  • Copyright © 2002 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 69 (9)
Cleveland Clinic Journal of Medicine
Vol. 69, Issue 9
1 Sep 2002
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Acute stroke therapy: Beyond IV tPA
Anthony J. Furlan
Cleveland Clinic Journal of Medicine Sep 2002, 69 (9) 730-734;

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Acute stroke therapy: Beyond IV tPA
Anthony J. Furlan
Cleveland Clinic Journal of Medicine Sep 2002, 69 (9) 730-734;
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