Multimodal Imaging Does Not Delay Intravenous Thrombolytic Therapy in Acute Stroke

Patients with acute ischemic stroke require immediate medical treatment, and a CT to rule out hemorrhage is required before tPA. We adapted our protocol to include multimodal CT: unenhanced CT, CTA, and PCT. The purpose of this study was to determine whether multimodal CT imaging delays initiation o...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 2011-05, Vol.32 (5), p.864-868
Main Authors: SALOTTOLO, K. M, FANALE, C. V, LEONARD, K. A, FREI, D. F, BAR-OR, D
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Brain
Cerebral Angiography - methods
Female
Fibrinolytic Agents - administration & dosage
Fundamental and applied biological sciences. Psychology
Humans
Injections, Intravenous
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Nervous system
Perception
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Stroke - diagnostic imaging
Stroke - drug therapy
Subtraction Technique
Thrombolytic Therapy - methods
Time Factors
Tissue Plasminogen Activator - administration & dosage
Tomography, X-Ray Computed - methods
Treatment Outcome
Vision
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Summary:Patients with acute ischemic stroke require immediate medical treatment, and a CT to rule out hemorrhage is required before tPA. We adapted our protocol to include multimodal CT: unenhanced CT, CTA, and PCT. The purpose of this study was to determine whether multimodal CT imaging delays initiation of IV tPA beyond 60 minutes from hospital arrival. All patients admitted during 3 years through the ED with a stroke alert and time from symptom onset to hospital arrival
ISSN:0195-6108
1936-959X
DOI:10.3174/ajnr.A2394