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首页> 外文期刊>Current medical research and opinion >The role of recombinant pro-urokinase (r-pro-UK) and intra-arterial thrombolysis in acute ischaemic stroke: the PROACT trials. Prolyse in Acute Cerebral Thromboembolism.
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The role of recombinant pro-urokinase (r-pro-UK) and intra-arterial thrombolysis in acute ischaemic stroke: the PROACT trials. Prolyse in Acute Cerebral Thromboembolism.

机译:重组尿激酶原(r-pro-UK)和动脉内溶栓在急性缺血性卒中中的作用:PROACT试验。急性脑血栓栓塞症。

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摘要

By delivering a higher concentration of drug directly into a clot, intra-arterial (IA) thrombolysis may be more effective than intravenous therapy at opening a blocked artery. The clinical efficacy and safety of IA thrombolysis with the selective thrombolytic r-pro-urokinase (r-pro-UK) has been demonstrated in two randomized acute stroke treatment trials, PROACT I and PROACT II. However, IA pro-UK is not yet FDA approved, and it is not known if IA thrombolysis with other agents would have the same results. However the American Heart Association has deemed IA thrombolysis an 'acceptable alternative therapy' and many stroke centres are offering it to patients with a major acute stroke presenting within 6 h.
机译:通过直接将较高浓度的药物直接递送到血凝块中,动脉内(IA)溶栓可能比静脉内治疗更有效地打开阻塞的动脉。选择性随机溶栓性r-尿激酶原(r-pro-UK)对IA溶栓的临床疗效和安全性已在两项随机急性卒中治疗试验PROACT I和PROACT II中得到证实。但是,IA pro-UK尚未获得FDA的批准,也不清楚IA与其他药物的溶栓效果是否相同。但是,美国心脏协会将IA溶栓治疗视为“可接受的替代疗法”,许多中风中心正在为6小时内出现严重急性中风的患者提供溶栓治疗。

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