What are my other treatment options?If IV t-PA treatment cannot be initiated within 4 ½ hours or if IV t-PA treatment alone is not enough to dissolve the clot, interventional radiologists that specialize in neurological procedures may be able to provide future treatment.
The interventional radiologist may be able to treat your blocked blood vessel or bulge in the vessel (aneurysm). Treatment depends on the site of the blocked artery and the scans done to tell if you would benefit from invasive treatment. Not all patients who have a stroke will benefit, but if your doctor believes you could you will be taken for an angiogram (a special X-ray exam of the arteries and veins).
For ischemic stroke, a thrombectomy, or removal of a clot, may be done by inserting specialized devices in through a tiny catheter and guiding them under x-ray to the brain. Thrombolysis, the dissolving of a clot by administering special medication, can also be administered through the tin microcatheter. Techniques called Angioplasty (balloon catheter) and Stenting (a metal tube placed in the blocked area) can be done for stenosis (narrowing of a blood vessel) in certain conditions. These are just some of the treatments that can be offered if appropriate for you.
If you stroke is caused by a ruptured aneurysm your doctor can insert tiny coils to take up the space of the aneurysm and prevent it from bleeding further. A stent may be used to help keep the coils in place. With angiographic imaging, your doctor will decide what is right for you.
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Topic: Life-saving drug for stroke patients (Read 941 times)