Chemical and/or mechanical therapy clot lysis or endovascular clot retrieval for
eligible patients. These include patients who arrive within 3 hours but are not
eligible for IV tPA, as well as those who arrive after 3 hours or who have
proximal arterial occlusions and received IV tPA without benefit.
Comments in brackets denote activities specific to MGH, or additional commentary
regarding national standards or guidelines. For example:
Activate the Stroke Team
Prior to making any medical decisions, please view our disclaimer.
Items marked with *** are not necessarily contraindications for
mechanical thrombolysis or clot retrieval procedures. These procedures may include
limited amounts of IV or IA chemical thrombolytics or antiplatelet agents.
These conditions may increase the risk of unfavorable outcomes but are not necessarily a contraindication to treatment:
Options to consider:
Reviewed/Approved by: Schwamm, Lee, M.D. on behalf of ASQT
Last updated: 12/23/2009
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