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Volume : 23 Issue : 3 Year : 2017

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Intravenous thrombolytic therapy in acute stroke: Problems and solutions (Part 1) [Turk J Neurol]
Turk J Neurol. Ahead of Print: TJN-71084

Intravenous thrombolytic therapy in acute stroke: Problems and solutions (Part 1)

Mehmet Akif Topcuoglu1, Ethem Murat Arsava1, Atilla Özcan Özdemir2, Erdem Gürkaş3, Dilek Necioğlu Örken4, Şerefnur Öztürk5
1Department Of Neurology, Hacettepe University, Faculty Of Medicine, Ankara, Turkey
2Department Of Neurology, Osman Gazi University, Faculty Of Medicine, Eskişehir, Turkey
3Department Of Neurology, Gulhane Training And Research Hospital, Ankara, Turkey
4Department Of Neurology, Sisli Hamidiye Etfal Training And Research Hospital, Ankara, Turkey
5Department Of Neurology, Selcuk University, Faculty Of Medicine, Konya, Turkey

Use of intravenous tissue plasminogen activator (tPA) is one of the key elements of acute ischemic stroke management. Its use has not become widespread, and faced with significant problems in our country for more than a quarter of a century most probably due to many unanswered questions about issues related daily practice. However, recent developments, which adequately focused and found solutions for most of these problems and questions, have led to a major change of point of view and understanding of the hyperacute management of stroke. This article, in the light of the relevant literature, discusses and provides clear recommendations for questions directed by neurologists practicing in Turkey mainly about neurological issues usually faced in the setting of tPA use for acute stroke.

Keywords: Stroke, Thrombectomy, Contraindication, Avoidance, training

Corresponding Author: Mehmet Akif Topcuoglu, Türkiye

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