Ultrasound in selection of patients with ischemic stroke for thrombolysis

Research output: Contribution to journalArticle

Abstract

Transcranial Doppler (TCD) in acute ischemic stroke can be used as a convenient screening test to identify the level of arterial occlusion and presence of residual flow, and to monitor recanalization. It can help to minimize the number of invasive angiograms and facilitate fast diagnostic work-up of stroke patients. Clinical recovery in tissue plasminogen activator (TPA) treated patients is associated with early complete recanalization. Dramatic clinical recovery during TPA infusion was seen in 20% of patients when TPA was combined with continuous TCD monitoring of the occlusion site. Ultrasonic energy transmission by TCD monitoring may expose more clot surface to residual blood flow and thus facilitate thrombolysis.

Original languageEnglish (US)
Pages (from-to)259-262
Number of pages4
JournalActa Clinica Croatica
Volume39
Issue number4
StatePublished - 2000
Externally publishedYes

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Tissue Plasminogen Activator
Patient Selection
Stroke
Ultrasonics
Angiography

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Ultrasound in selection of patients with ischemic stroke for thrombolysis. / Alexandrov, Andrei.

In: Acta Clinica Croatica, Vol. 39, No. 4, 2000, p. 259-262.

Research output: Contribution to journalArticle

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