What Is Intravenous Thrombolysis

Intravenous thrombolysis is a treatment for selected patients with acute ischaemic stroke in which a medicine that dissolves blood clots is given through a vein to reopen a blocked brain artery Most hospitals use alteplase or newer agents within a defined time window from symptom onset Evidence shows that when given early and appropriately thrombolysis increases the chance of good functional recovery although it does carry a small risk of bleeding in the brain

Eligibility and Time Window

Not every stroke patient is eligible Neurologists confirm that symptoms are due to ischaemic stroke rather than bleeding by urgent brain imaging and check for conditions that increase bleeding risk such as recent major surgery or uncontrolled high blood pressure International guidelines emphasise treatment as soon as possible ideally within four and a half hours of onset for most people with some extended window protocols guided by advanced imaging The decision balances potential benefit in salvaging brain tissue against risk of haemorrhage

How Treatment Is Given

Once eligibility is confirmed weight based dose of the thrombolytic drug is calculated a small portion is given as a rapid bolus and the remainder is infused over about one hour while vital signs and neurological status are closely monitored Blood pressure targets are strictly followed before during and after infusion to limit bleeding risk Follow up imaging is performed to check for haemorrhage before starting antiplatelet therapy

Outcomes and Follow Up

Clinical trials have shown that thrombolysis significantly improves the chance of independent function at three months in carefully selected patients especially when administered very early Some individuals do not improve or may worsen due to bleeding or progression of stroke making post treatment monitoring in a stroke unit or intensive care area essential Ongoing rehabilitation and secondary prevention with medicines and lifestyle change remain vital regardless of initial response

Why Choose Livasa Hospital Mohali for Intravenous Thrombolysis

Livasa Hospital Mohali operates stroke protocols designed to minimise delays from arrival to treatment with twenty four hour CT imaging laboratory services and trained stroke physicians able to deliver thrombolysis safely The hospital serves as a hub for surrounding regions of Punjab providing rapid treatment decisions and subsequent comprehensive stroke care within one facility

NAP Contact Details Mohali Unit

Livasa Hospital Mohali
Sector 71 Sahibzada Ajit Singh Nagar Mohali Punjab 160071