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What is the time window for thrombolysis in ischaemic stroke, and when can it be extended?

Thrombolysis for ischaemic stroke is effective only within a 4.5-hour window from symptom onset. This window may be extended to 9 hours if CT perfusion or MRI shows evidence of salvageable brain tissue.

Key points

  • The standard time window for thrombolysis in ischaemic stroke is 4.5 hours from symptom onset.
  • The window can be extended to 9 hours when CT perfusion or MRI demonstrates salvageable brain tissue.
  • Thrombolysis is contraindicated in haemorrhagic stroke.
Source:Oxford Handbook of Adult Nursing, Third Edition· Neurological conditions· p. 303–312

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Oxford Handbook of Adult Nursing, Third Edition

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Third Edition · Oxford University Press

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