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A 44-year-old member asked:

What therapy is used in patients with acute ischemic stroke?

2 doctor answers6 doctors weighed in
Dr. Pavel Conovalciuc
Family Medicine 23 years experience
Various: Adequate therapy depends on the time of presentation for medical care. If it is delayed (>3 hours) supportive therapy is usually utilized (blood pressure control, aspirin, lipid lowering, as well as monitoring vital bodily functions like swallowing). If it's prompt, then reperfusion therapy may attempted barring any contraindications.
Dr. Michael Korona
Interventional Radiology 33 years experience
Time critical: Within 3 hours of symptoms ( up to 4.4 hours in some cases ) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers.

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Last updated Mar 6, 2012
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