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Is angioedema secondary to IV tPA considered an absolute contraindication for tPA in future?

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Do you consider tPA in patients who have had angioedema with tPA use in the past?

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3 Answers
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Neurology · University of Calgary
Answered on

In short, no. In general, the only absolute contraindications to alteplase and other forms of tPA are active bleeding or situations that could result in active uncontrollable bleeding; all other considerations are relative. Hemi-orolingual angioedema is thought to arise associated with activation of...

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Neurology · Memorial Hermann
Answered on

From Bianca Pirlog MD and James Grotta MD; Houston Mobile Stroke Unit, Memorial Hermann Hospital, Houston, Texas.

As Dr. @Dr. First Last already mentioned, the angioedema post tPA seems to be associated with activation of the kallikrein system and it seems that patients under ACE inhibitors are at in...

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Mednet Member
Neurology · Boice-Willis Clinic, P. A.
Answered on

EVT. LVO

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