6 doctors weighed in:
When is thrombolysis used for stroke?
6 doctors weighed in

Dr. Michael Korona
Radiology - Interventional
4 doctors agree
In brief: Up to 6 hours
Tpa (alteplase) can be used by vein up to 3 hours ( some patients 4.
5 hours ) after onset of stroke symptoms. Tpa (alteplase) in the artery can be used up to 6 hours after onset ( up to 24 hours in basilar artery ).

In brief: Up to 6 hours
Tpa (alteplase) can be used by vein up to 3 hours ( some patients 4.
5 hours ) after onset of stroke symptoms. Tpa (alteplase) in the artery can be used up to 6 hours after onset ( up to 24 hours in basilar artery ).
Dr. Michael Korona
Dr. Michael Korona
Thank
Dr. Mark Rasak
Internal Medicine - Cardiology
In brief: Timing is everything
Lytic therapy for strokes has been effective both IV and direct infusion in the cerebral artery.
The sooner the better. The pts who are not excluded for bleeding risk or allergies etc.Should be treates asap. Pts within first 1-2 hrs do the best. 2-3 hrs have modest recovery and after 3 hrs prob not going to get a clinically significant improvement. Ofcourse each pt is has his own risk vs benefit.

In brief: Timing is everything
Lytic therapy for strokes has been effective both IV and direct infusion in the cerebral artery.
The sooner the better. The pts who are not excluded for bleeding risk or allergies etc.Should be treates asap. Pts within first 1-2 hrs do the best. 2-3 hrs have modest recovery and after 3 hrs prob not going to get a clinically significant improvement. Ofcourse each pt is has his own risk vs benefit.
Dr. Mark Rasak
Dr. Mark Rasak
Thank
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