The U.S. Food and Drug Administration has approved recombinanttissue plasminogen activator for the treatment of acute ischemicstroke, but the safety and efficacy of this therapy are stillunder scrutiny. Should thrombolytic therapy now be used routinelyfor acute ischemic stroke? Caplan et al. and Grotta presenttwo points of view.
Address reprint requests to Dr. Caplan at the Department of Neurology, New England Medical Center #314, 750 Washington St., Boston, MA 02111.
Thrombolysis with intravenous recombinant tissue plasminogenactivator (t-PA) has quickly become part of the emergency careof patients with stroke. In December 1995, the report of a trialsponsored jointly by the National Institute of NeurologicalDisorders and Stroke (NINDS) and Genentech appeared in the Journal.1Shortly thereafter, . . . [Full Text of this Article]
Address reprint requests to Dr. Grotta at the Department of Neurology, University of Texas Medical SchoolHouston, 6431 Fannin, Suite 7044, Houston, TX 77030.
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