Well unless (s)he is doing it as part of an ethically approved RCT I would
regard that as an extremely high-risk practice, particularly when the
natural history of "untreated" stroke is so variable.
Mark Slade
Gen Med Consultant ("The Enemy")
-----Original Message-----
From: Andy Morris [mailto:[log in to unmask]]
Sent: 11 January 2002 17:10
To: [log in to unmask]
Subject: Thrombolysis
As far a thrombolysis in acute CVA it certainly goes on in Glasgow in some
places
- Dr Battacharya, the interventional radiologist at the institute of
neurosciences
at the southern general hospital has certainly this and I believe has
performed
intra-cerebral arterial thrombolysis on a patients from the islands who was
too late for IV therapy. I also think Prof. Lees at the Western infirmary
also
performs thrombolysis.
On a related point, does anyone know about thrombolysis during CPR for
cardiac
arrest secondary to AMI - I know it is conventionally contra-indicated but
there
were some annecdotal reports from the states about it having success with
few
adverse events - anyone heard more about this or even practicing it?
yours
Andy Morris
Medical Student
University of Glasgow
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