Thrombolysis in Acute Stroke

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Thrombolysis in Acute stroke is the third commonest cause of death and leading cause of adult disability in India. Recently the thrombolytic agent (rt-Pa/Alteplase), received a license for the treatment of acute ischemic stroke within 4 1/2 hours (Golden Hours) of symptom onset. The benefits of thrombolysis can be substantial. By promoting the rapid recognition of Stroke symptoms in the community, prompt transport of patients to specialized stroke units for early investigation, Neuro imaging, stabilization and treatment there would be substantial net benefit for all patients with stroke. Clearly we have the long way to go before BRAIN ATTACK is gives the same degree of priority and urgency as heart attack currently is. We have successfully trombolysed many patents in our hospital.

Thrombolytics restore cerebral blood flow in patients with acute ischemic stroke. Prompt treatment with thrombolytic drugs can restore blood flow before major brain damage has occurred. Successful treatment could mean that the patient is more likely to make a good recovery from their stroke. Fortis Escorts Hospital, Faridabad is doing Thrombolysis in Acute Stroke on regular basis. We have successfully thrombolysed more than 150 patients till date which is among the one of the highest number in DELHI & NCR.

Intravenous Thrombolysis has become an important part of the Ischemic Stroke Management. For patients who meet criterias for IV Thrombolysis, research has shown good results of it in all subtypes of Ischemic Stroke.

The centre is facilitated by CT scan and MRI facility. We have Deptt. Of Neurology which is headed by a senior Neurologist, who has expertise in Neuro-Radiology and interprets head CT Scans to determine whether to administer thrombolytic agents to stroke patients with in golden hours.

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