Future directions for recanalization therapy in acute ischemic stroke

Authors: Willey, Joshua; Schumacher, H Christian; Meyers, Philip M

Source: Future Neurology, Volume 1, Number 1, January 2006 , pp. 107-116(10)

Publisher: Future Medicine

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Abstract:

Currently, the only treatment approved by the US Food and Drug Administration for the treatment of acute stroke is the intravenous recombinant tissue plasminogen activator, which must be administered within a 3 h window. The majority of ischemic stroke patients do not receive intravenous thrombolysis, primarily because they enter the healthcare system too late. Alternative treatment strategies being used or investigated include intra-arterial thrombolysis, endovascular clot disruption, and manipulation and angioplasty with or without stenting. The most promising new revascularization technologies beyond conventional thrombolysis for acute ischemic stroke are ultrasound-enhanced thrombolysis, mechanical clot extraction devices and stent angioplasty. Advances in neuroimaging may allow physicians to determine the etiology of a stroke and tailor treatment accordingly for the maximal clinical benefit for affected patients.

Keywords: acute revascularization; ischemic stroke; thrombectomy; thrombolysis

Document Type: Research article

DOI: http://dx.doi.org/10.2217/14796708.1.1.107

Publication date: 2006-01-01

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