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STROKE TREATMENT


CAN USING A CLOT BUSTING MEDICATION HELP TREAT STROKES MORE EFFECTIVELY?  ELIZABETH TRACEY REPORTS


TPA is the acronym for tissue plasminogen activator, a medication used to break up blood clots when they occur in places we don’t want them, such as the brain.  A Johns Hopkins study led by Judy Huang, a neurosurgeon, is looking at whether injecting TPA directly into the clot may improve outcomes after specific types of stroke or cerebrovascular accident.

HUANG: This study is for intracerebral hemorrhage evacuation, is called MISTIE.  It is very critical to have these patients come in in a timely fashion, because these intracerebral hemorrhages do tend to expand within the first 24 hours, because frequently the high blood pressure is poorly controlled, so as the blood pressure continues to be high, the patient can continue to bleed.  So it’s very critical to have that blood pressure management right away.  After we’ve documented that the clot has stabilized then we can evaluate the patient for possible clot busting medication that’s put directly into the clot to dissolve the clot.      :34

At Johns Hopkins, I’m Elizabeth Tracey.


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