Thrombolytic therapy of ischemic stroke

Reperfusion therapy is one of the main treatment strategies of ischemic stroke. The first studies of the efficacy of thrombolytic medications started form the use of streptokinase and fibrinolysin in patients with ischemic stroke in late 50 - early 60 of the XX century in the United States, Soviet Union, and Western Europe. After the development of recombinant tissue plasminogen activator, thrombolysis became one of the main methods of reperfusion in patients with acute ischemic stroke, acute myocardial infarction, or other acute vascular thrombotic events. Later, modified variants of tissue plasminogen activator with prolonged clearance time, high fibrin-selectivity, and bolus delivery were introduced. Another group of thrombolytic agents includes derivatives of flora and fauna - external plasminogen activators, of which streptokinase, staphylokinase, and desmoteplase are most common drugs. These medications are not a structural part of the human organism, and overcoming of immunogenicity while preserving fibrinolytic activity and fibrin specificity is one of the main tasks in applying them in clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:118

Enthalten in:

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova - 118(2018), 12. Vyp. 2 vom: 30., Seite 4-14

Sprache:

Russisch

Weiterer Titel:

Tromboliticheskaia terapiia ishemicheskogo insul'ta

Beteiligte Personen:

Gusev, E I [VerfasserIn]
Martynov, M Yu [VerfasserIn]
Yasamanova, A N [VerfasserIn]
Nikonov, A A [VerfasserIn]
Markin, S S [VerfasserIn]
Semenov, A M [VerfasserIn]

Links:

Volltext

Themen:

Alteplase
Desmoteplase
EC 3.4.21.68
Fibrinolytic Agents
Ischemic stroke
Journal Article
Lanoteplase
Monteplase
Pamiteplase
Plasmin
Plasminogen
Plasminogen activators
Recombinant Proteins
Reteplase
Staphylokinase
Streptokinase
Tenecteplase
Thrombolysis
Tissue Plasminogen Activator

Anmerkungen:

Date Completed 20.05.2019

Date Revised 20.05.2019

published: Print

Citation Status MEDLINE

doi:

10.17116/jnevro20181181224

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294543201