When is thrombolytic therapy indicated in the treatment of acute ischemic stroke (AIS)?

Updated: Dec 31, 2017
  • Author: Wanda L Rivera-Bou, MD, FAAEM, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

Despite the increased risk of hemorrhage in patients with a massive stroke, fibrinolysis remains indicated whenever other exclusion criteria are absent. The potential benefit is tremendous in this population of patients, who almost always will have a dismal outcome if therapy is withheld. Inclusion and exclusion criteria must be reviewed before administration of a thrombolytic agent. Be aware of SAH that presents early without CT findings.


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