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Do you utilize thrombolytic therapy in patients with CRAO?

2 Answers
Mednet Member
Mednet Member
Neurology · University of Virginia, School of Medicine

Yes. The previous trial was negative because patients with CRAO were included after 4.5 hours. There are trials underway in Europe for both tPA and TNK to address that. The retina will irreversibly infarct if the blood flow is not restored within 240 minutes (this is from basic science studies with ...

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Mednet Member
Mednet Member
Neurology · Vanderbilt University Medical Center

Yes, we use a 4.5-hour window, though the evidence remains relatively limited. There is an AHA guideline on this topic.

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Do you utilize thrombolytic therapy in patients with CRAO? | Mednet