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Drug Evaluations

Pharmacokinetics of alteplase in the treatment of ischaemic stroke

, MB ChB MSc MD MRCP (Doctor in Clinical Pharmacology) & , MD FRCP (Professor, Jacobson Chair of Clinical Pharmacology)
Pages 271-281 | Published online: 17 Jan 2012

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Charles I. Mosimah, Pamela J. Murray & James W. Simpkins. (2019) Not all clots are created equal: a review of deficient thrombolysis with tissue plasminogen activator (tPA) in patients with metabolic syndrome. International Journal of Neuroscience 129:6, pages 612-618.
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Bruno P. Meloni, David J. Blacker, Adam B. Edwards & Neville W. Knuckey. (2022) Impact of poly-arginine peptides R18D and R18 on alteplase and tenecteplase thrombolysis in vitro, and neuroprotective stability to proteolysis. Journal of Thrombosis and Thrombolysis 54:1, pages 172-182.
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Dmitri Nikitin, Jan Mican, Martin Toul, David Bednar, Michaela Peskova, Patricia Kittova, Sandra Thalerova, Jan Vitecek, Jiri Damborsky, Robert Mikulik, Sarel J. Fleishman, Zbynek Prokop & Martin Marek. (2022) Computer-aided engineering of staphylokinase toward enhanced affinity and selectivity for plasmin. Computational and Structural Biotechnology Journal 20, pages 1366-1377.
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Sandra Thalerová, Michaela Pešková, Patrícia Kittová, Sumeet Gulati, Jan Víteček, Lukáš Kubala & Robert Mikulík. (2021) Effect of Apixaban Pretreatment on Alteplase-Induced Thrombolysis: An In Vitro Study. Frontiers in Pharmacology 12.
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Miguel Leal Rato, Maria José Diógenes & Ana Sebastião. 2021. Precision Medicine in Stroke. Precision Medicine in Stroke 41 69 .
Tamer Roushdy, Eman Hamid, Mai Fathy, Islam Bastawy, Hany Aref & Nevine El Nahas. (2020) Peripheral embolization following thrombolytic therapy for acute ischemic stroke—a case report. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 56:1.
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Jade E. Kenna, Ryan S. Anderton, Neville W. Knuckey & Bruno P. Meloni. (2020) Assessment of recombinant tissue plasminogen activator (rtPA) toxicity in cultured neural cells and subsequent treatment with poly-arginine peptide R18D. Neurochemical Research 45:5, pages 1215-1229.
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Robert Joseph Cruz Sarmiento, Jose Danilo Bengzon Diestro, Adrian Isidoro Espiritu & Maria Cristina Zarsadias San Jose. (2019) Safety and Efficacy of Repeated Thrombolysis with Alteplase in Early Recurrent Ischemic Stroke: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases 28:10, pages 104290.
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Robert A. Hamilton, Mausaminben Hathidara, Syeda Dania Shujaat, Allison E. Strickland, Bradley N. Bohnstedt & Bappaditya Ray. (2019) Dasatinib Reinitiation After Poststroke Thrombolysis Associated with Symptomatic Intracerebral Hemorrhage. World Neurosurgery 125, pages 383-386.
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Boram Gu, Andris Piebalgs, Yu Huang, Colin Longstaff, Alun Hughes, Rongjun Chen, Simon Thom & Xiao Xu. (2019) Mathematical Modelling of Intravenous Thrombolysis in Acute Ischaemic stroke: Effects of Dose Regimens on Levels of Fibrinolytic Proteins and Clot Lysis Time. Pharmaceutics 11:3, pages 111.
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Stéphane LoyauBenoit Ho-Tin-NoéMarie-Charlotte BourrienneYacine BoulaftaliMartine Jandrot-Perrus. (2018) Microfluidic Modeling of Thrombolysis. Arteriosclerosis, Thrombosis, and Vascular Biology 38:11, pages 2626-2637.
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D. Leenaerts, S. Loyau, J.C. Mertens, W. Boisseau, J.B. Michel, A.M. Lambeir, M. Jandrot‐Perrus & D. Hendriks. (2018) Carboxypeptidase U (CPU, carboxypeptidase B2, activated thrombin‐activatable fibrinolysis inhibitor) inhibition stimulates the fibrinolytic rate in different in vitro models. Journal of Thrombosis and Haemostasis 16:10, pages 2057-2069.
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Jan-Dirk Vermeij, Willeke F. Westendorp, Yvo B. Roos, Matthijs C. Brouwer, Diederik van de Beek & Paul J. Nederkoorn. (2016) Preventive Ceftriaxone in Patients with Stroke Treated with Intravenous Thrombolysis: Post Hoc Analysis of the Preventive Antibiotics in Stroke Study. Cerebrovascular Diseases 42:5-6, pages 361-369.
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Dinu Stanescu-Segall, Florian Balta & Timothy L. Jackson. (2016) Submacular hemorrhage in neovascular age-related macular degeneration: A synthesis of the literature. Survey of Ophthalmology 61:1, pages 18-32.
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Woosuk S. Hur, Nima Mazinani, X. J. David Lu, Heidi M. Britton, James R. Byrnes, Alisa S. Wolberg & Christian J. Kastrup. (2015) Coagulation factor XIIIa is inactivated by plasmin. Blood 126:20, pages 2329-2337.
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F Fabbian. (2015) Impact of Glomerular Filtration Rate on Intravenous Thrombolytic Therapy in Acute Ischemic Stroke: A Retrospective Study from a Single Italian Center. Archives of Clinical Nephrology, pages 001-006.
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Rick Gill, Elisabeth Donahey & Sean Ruland. (2015) Early Administration of Therapeutic Anticoagulation Following Intravenous Thrombolysis for Acute Cardiogenic Embolic Stroke Caused by Left Ventricular Thrombus: Case Report and Topic Review. Frontiers in Neurology 6.
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Manuel Cappellari, Giuseppe Moretto & Paolo Bovi. (2014) Repeated intravenous thrombolysis after recurrent stroke. A case series and review of the literature. Journal of the Neurological Sciences 345:1-2, pages 181-183.
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Sourabh Lahoti, Sankalp Gokhale, Louis Caplan, Patrik Michel, Yves Samson, Charlotte Rosso, Kaustubh Limaye, Archana Hinduja, Aneesh Singhal, Syed Ali, Luther Creed Pettigrew, Richard Kryscio, Nikita Dedhia, Shirish Hastak & David S. Liebeskind. (2014) Thrombolysis in Ischemic Stroke Without Arterial Occlusion at Presentation. Stroke 45:9, pages 2722-2727.
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Be'eri Niego & Robert L Medcalf. (2014) Plasmin-Dependent Modulation of the Blood–Brain Barrier: A Major Consideration during tPA-Induced Thrombolysis?. Journal of Cerebral Blood Flow & Metabolism 34:8, pages 1283-1296.
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Paul Acheampong, Margaret T. May, Gary A. Ford & Anand K. Dixit. (2014) Bolus-Infusion Delays of Alteplase during Thrombolysis in Acute Ischaemic Stroke and Functional Outcome at 3 Months. Stroke Research and Treatment 2014, pages 1-4.
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Ansaar T Rai, Jeffrey S Carpenter, Karthikram Raghuram, Thomas D Roberts, Daniel Rodgers & Gerald R Hobbs. (2013) Endovascular therapy yields significantly superior outcomes for large vessel occlusions compared with intravenous thrombolysis: is it time to randomize?. Journal of NeuroInterventional Surgery 5:5, pages 430-434.
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Han Soo YooYoung Dae KimHye Sun LeeDongbeom SongTae Jin SongByung Moon KimDong Joon KimDong Ik KimJi Hoe HeoHyo Suk Nam. (2013) Repeated Thrombolytic Therapy in Patients with Recurrent Acute Ischemic Stroke. Journal of Stroke 15:3, pages 182.
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Sohita Dhillon. (2012) Alteplase. CNS Drugs 26:10, pages 899-926.
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