علاج تشريح الشريان الفقري المظهر كسكتة دماغية إقفارية حادة

DOI: 10.1161/STR.0000000000000457

• In patients with acute ischemic stroke attributable to cervical artery dissection, acute treatment strategies such as thrombolysis and mechanical thrombectomy are reasonable in otherwise eligible patients.
• Intravenous thrombolysis (IVT), with either alteplase or tenecteplase, is a highly efficacious acute ischemic stroke treatment and leads to improved functional outcome.
• In the absence of data suggesting safety concerns and given the proven efficacy of IVT in otherwise eligible patients with acute ischemic stroke, it is reasonable to consider IVT for patients with acute ischemic stroke with cervical artery dissection if they meet other standard criteria, as recommended by current guidelines.