Reperfusion Therapy, Cerebral
To view the entire topic, please log in or purchase a subscription.
Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
-- The first section of this topic is shown below --
Basics
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
- 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
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Basics
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
- 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
There's more to see -- the rest of this entry is available only to subscribers.