Please select the option that best describes you:
Topics:
Neurology • Vascular Neurology
When would you consider intra-arterial thrombolysis for acute ischemic stroke?
What are the main criteria for its consideration, and who would be an ideal candidate?
Answer from: at Community Practice
The prior answer brings up several valid scenarios where IA thrombolysis may be applicable. I can offer some nuanced perspective based on current practice.
Device technology has advanced significantly since the landmark EVT trials of 2015. Today, EVT is increasingly feasible in distal-segment occlu...
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Answer from: at Academic Institution
Mechanical thrombectomy is considered first line over intra-arterial tPA now. I would consider IA tPA for the following scenarios:
The clot can’t be reached for mechanical thrombectomy, but a microcatheter can be placed for IA tPA.
If there is a partially occlusive clot that you don’...