Reperfusion Therapy, Cerebral
Basics
Description
Description
- An ischemic cerebrovascular accident (CVA), or stroke, is sudden interruption of regional cerebral blood supply
- Cerebral reperfusion therapy involves:
- Intravenous (IV) thrombolysis with IV recombinant tissue-plasminogen activator (tPA), alteplase
- Endovascular mechanical embolectomy with a stent retriever
Etiology
Etiology
- Thrombotic CVA: Thrombosis from atherothrombotic lesion, hypercoagulable state, sludging
- Embolic CVA: Acute obstruction by an embolus from elsewhere, such as cardiac mural thrombus, aortic plaque, prosthetic cardiac valve
- Other occlusive events: Dissection, vasospasm
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Citation
Schaider, Jeffrey J., et al., editors. "Reperfusion Therapy, Cerebral." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307259/2.0/Reperfusion_Therapy_Cerebral.
Reperfusion Therapy, Cerebral. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307259/2.0/Reperfusion_Therapy_Cerebral. Accessed October 7, 2024.
Reperfusion Therapy, Cerebral. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307259/2.0/Reperfusion_Therapy_Cerebral
Reperfusion Therapy, Cerebral [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 October 07]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307259/2.0/Reperfusion_Therapy_Cerebral.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Reperfusion Therapy, Cerebral
ID - 307259
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307259/2.0/Reperfusion_Therapy_Cerebral
PB - Lippincott Williams & Wilkins
ET - 6
DB - Emergency Central
DP - Unbound Medicine
ER -