Âé¶¹´«Ã½Ó³»­

Âé¶¹´«Ã½Ó³»­

Explore the latest content from across our publications

Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Safety and efficacy of thrombolysis in Ischemic stroke in Coastal Andhra Pradesh, India: A single centre experience
Cerebrovascular Disease and Interventional Neurology
P8 - Poster Session 8 (8:00 AM-9:00 AM)
4-005
To evaluate the safety and efficacy of thrombolysis in acute Ischemic stroke using alteplase (Actilyse at 0.9 mg/kg) and tenecteplase (Tenectase at 0.2 mg /kg) in Indian patients.
Intravenous Thrombolysis is the standard of care in acute Ischemic Stroke. Two molecules, Actilyse by BI pharmaceuticals and Tenectase by Gennova Pharmaceuticals are approved in India. No such study is done so far.

Consecutive patients of thrombolysed ischemic stroke in a single centre were studied; demographic data, safety variables (death and symptomatic intracerebral haemorrhage(sICH) as per European Cooperative Acute Stroke Study II(ECASS II) criteria) and out come at 90 days {excellent (modified Rankin Scale-mRS 0-1) and functional independence(mRS 0-2)}  were analysed. Statistical analysis was performed with Medcalc software.

106 patients were studied, 56 receiving Actilyse and 50 Tenectase. The mean age was 67 and 59 years respectively(p=.001) with similar sex distribution(p=.258). Mean Baseline national Institute of Neurological Disorders and Stroke(NIHSS) score was similar {12.5 and 10.63(p=.077)} in both arms. Mean door to needle time was 132 and 123 minutes respectively. Hypertension was  more in the actilyse group(82%vs 54%, p=.004); Diabetes Mellitus was seen in similar proportions(53% and 44%, p=.43) in both the groups  but significantly more prevalent than in SITS NEW patients(p=004). Hypertension was more prevalent in the actilyse group(p=.001).

sICH was seen in 2,0 and 33 patients respectively in the actilyse, tenectase and SITS NEW groups with no statistical difference between actilyse and SITS NEW groups. There were 3(2related), 1(0) and 59(12) deaths in these groups. Excellent outcome was seen in 75%, 58% and 43% in these groups. Functional Independence was significantly better in actilyse and tenectase groups compared to SITS NEW(p=.035, .005)

Our data confirms the safety and efficacy of intravenous alteplase and tenecteplase when used within 3 hours of stroke onset. We had more diabetics and better functional outcome.
Authors/Disclosures
Kumaravelu Somasundaram, DM (Ramesh Cardiac and multispeciality Hospital)
PRESENTER
Prof. Somasundaram has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Boringer Ingelheim and Pfizer . Prof. Somasundaram has received research support from Intas Pharmaceuticals.
No disclosure on file
No disclosure on file
Balakrishna Sanampudi, MBBS Dr. Sanampudi has nothing to disclose.
No disclosure on file
No disclosure on file