Deans' stroke musings: Success Seen for tPA in Carotid Artery Stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, September 25, 2012

Success Seen for tPA in Carotid Artery Stroke

I'm sure someone medical can explain this to me. But how do you have a stroke when a carotid artery is blocked and you have a functioning Circle of Willis? My carotid is totally blocked and I did not have a stroke whenever it closed up 4 years ago.

Success Seen for tPA in Carotid Artery Stroke

Intravenous thrombolysis should be considered a preferred first-line treatment for acute occlusion of the cervical internal carotid artery (ICA), a small retrospective study suggested.
Among 13 patients treated with recombinant tissue plasminogen activator (rtPA) within the recommended treatment window, seven had good functional recovery at 3 months, compared with only one of eight given primary endovascular treatment, according to Raymond C.S. Seet, MD, of the National University of Singapore, and colleagues.
Predictors of favorable functional outcome in patients treated with rtPA included good collateral distal blood flow, with an odds ratio of 20 (95% CI 2 to 242, P=0.02) and neurologic recovery within 24 hours, with an odds ratio of 77 (95% CI 3 to 500, P=0.02), the researchers reported online in Archives of Neurology.