Archive 1995–2023
Trombolysis in acute ischemic stroke
Contemporary treatment of acute ischemic stroke focuses on drugs inducing early reperfusion of occluded arteries leading blood to the brain. Thrombolysis with recombinant tissue plasminogen activator (rt-PA, alteplase) is the only agent proved to be effective in clinical trials and having a considerably low rate of adverse effects if introduced within 3 hours of stroke symptom onset. Recently studies on expanding the therapeutic window, what could result in increasing the number of treated patients and inducing rt-PA efficacy are being performed. Clinical trials and our experience confirm it's higher efficacy compared to other known stroke treatments.