Should we give or not give thrombolytic therapy before endovascular therapy?
In acute ischemic stroke due to large vessel occlusion; endovascular interventions in which the clot is removed mechanically are gold standard treatments. According to the guidelines and the results of the studies carried out in previous years, current practice is; If the patient does not have contr...
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Turkish Society of Cerebrovascular Diseases
2021-04-01
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doaj-0a9a0f04a2fa43ce9a8ddbae7766d7382021-04-26T07:29:29ZengTurkish Society of Cerebrovascular DiseasesTürk Beyin Damar Hastalıkları Dergisi1301-13752021-04-012711910.5505/tbdhd.2021.25348TBDHD-25348Should we give or not give thrombolytic therapy before endovascular therapy?Zehra Uysal Kocabaş0Özlem Aykaç1Bilgehan Atılgan Acar2Bingöl Public Hospital, Bingöl, İntensive Care Clinic,TurkeyEskişehir Osmangazi University Faculty Of Medicine, Department Of Neurology, Eskişehir, TurkeySakarya University Faculty Of Medicine, Department Of Neurology, Sakarya, TurkeyIn acute ischemic stroke due to large vessel occlusion; endovascular interventions in which the clot is removed mechanically are gold standard treatments. According to the guidelines and the results of the studies carried out in previous years, current practice is; If the patient does not have contraindications, IV rtPA is initiated before endovascular treatment without loss of time. However, in recent years there is a tendency in the direction of taking patients directly into the angiography unit and randomized controlled studies comparing these two groups are gaining weight. For direct endovascular intervention of patients; results have also been obtained showing that it may not be worse than combined therapy in recent studies. In the light of current studies, it is not yet possible to make clear choices between both approaches. For this reason, it would be a more logical approach to consider each patient separately and to make the right choice on the basis of the patient.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tbdhd&un=TBDHD-25348acute ischemic strokeendovascular therapythrombolytic therapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zehra Uysal Kocabaş Özlem Aykaç Bilgehan Atılgan Acar |
spellingShingle |
Zehra Uysal Kocabaş Özlem Aykaç Bilgehan Atılgan Acar Should we give or not give thrombolytic therapy before endovascular therapy? Türk Beyin Damar Hastalıkları Dergisi acute ischemic stroke endovascular therapy thrombolytic therapy |
author_facet |
Zehra Uysal Kocabaş Özlem Aykaç Bilgehan Atılgan Acar |
author_sort |
Zehra Uysal Kocabaş |
title |
Should we give or not give thrombolytic therapy before endovascular therapy? |
title_short |
Should we give or not give thrombolytic therapy before endovascular therapy? |
title_full |
Should we give or not give thrombolytic therapy before endovascular therapy? |
title_fullStr |
Should we give or not give thrombolytic therapy before endovascular therapy? |
title_full_unstemmed |
Should we give or not give thrombolytic therapy before endovascular therapy? |
title_sort |
should we give or not give thrombolytic therapy before endovascular therapy? |
publisher |
Turkish Society of Cerebrovascular Diseases |
series |
Türk Beyin Damar Hastalıkları Dergisi |
issn |
1301-1375 |
publishDate |
2021-04-01 |
description |
In acute ischemic stroke due to large vessel occlusion; endovascular interventions in which the clot is removed mechanically are gold standard treatments. According to the guidelines and the results of the studies carried out in previous years, current practice is; If the patient does not have contraindications, IV rtPA is initiated before endovascular treatment without loss of time. However, in recent years there is a tendency in the direction of taking patients directly into the angiography unit and randomized controlled studies comparing these two groups are gaining weight. For direct endovascular intervention of patients; results have also been obtained showing that it may not be worse than combined therapy in recent studies. In the light of current studies, it is not yet possible to make clear choices between both approaches. For this reason, it would be a more logical approach to consider each patient separately and to make the right choice on the basis of the patient. |
topic |
acute ischemic stroke endovascular therapy thrombolytic therapy |
url |
https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tbdhd&un=TBDHD-25348 |
work_keys_str_mv |
AT zehrauysalkocabas shouldwegiveornotgivethrombolytictherapybeforeendovasculartherapy AT ozlemaykac shouldwegiveornotgivethrombolytictherapybeforeendovasculartherapy AT bilgehanatılganacar shouldwegiveornotgivethrombolytictherapybeforeendovasculartherapy |
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1721507648393707520 |