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HandWiki. Alteplase. Encyclopedia. Available online: https://encyclopedia.pub/entry/32033 (accessed on 24 September 2026).
HandWiki. Alteplase. Encyclopedia. Available at: https://encyclopedia.pub/entry/32033. Accessed September 24, 2026.
HandWiki. "Alteplase" Encyclopedia, https://encyclopedia.pub/entry/32033 (accessed September 24, 2026).
HandWiki. (2022, October 31). Alteplase. In Encyclopedia. https://encyclopedia.pub/entry/32033
HandWiki. "Alteplase." Encyclopedia. Web. 31 October, 2022.
Alteplase
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Alteplase (t-PA), a biosynthetic form of human tissue-type plasminogen activator (t-PA), is a thrombolytic medication, used to treat acute ischemic stroke, acute ST-elevation myocardial infarction (a type of heart attack), pulmonary embolism associated with low blood pressure, and blocked central venous catheter. It is given by injection into a vein or artery. Alteplase is the same as the normal human plasminogen activator produced in vascular endothelial cells and is synthesized via recombinant DNA technology in Chinese hamster ovary cells (CHO). Alteplase causes the breakdown of a clot by inducing fibrinolysis.

alteplase pulmonary embolism human plasminogen

References

  1. "Alteplase Monograph for Professionals". https://www.drugs.com/monograph/alteplase.html. 
  2. "Activase- alteplase kit". 5 December 2018. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c669f77c-fa48-478b-a14b-80b20a0139c2. 
  3. "Cathflo Activase- alteplase injection, powder, lyophilized, for solution". 6 September 2019. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=91ecdef2-95ff-42dd-a31c-c8a09cab3ad9. 
  4. "2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation 127 (4): e362-425. January 2013. doi:10.1161/CIR.0b013e3182742cf6. PMID 23247304.  https://dx.doi.org/10.1161%2FCIR.0b013e3182742cf6
  5. "Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke 50 (12): e344–e418. December 2019. doi:10.1161/STR.0000000000000211. PMID 31662037.  https://dx.doi.org/10.1161%2FSTR.0000000000000211
  6. "2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke 49 (3): e46–e110. March 2018. doi:10.1161/STR.0000000000000158. PMID 29367334.  https://dx.doi.org/10.1161%2FSTR.0000000000000158
  7. "Tissue Plasminogen Activator". StatPearls. Treasure Island (FL): StatPearls Publishing. April 2020. http://www.ncbi.nlm.nih.gov/books/NBK507917/. Retrieved 2020-11-10. 
  8. "Alteplase". StatPearls. Treasure Island (FL): StatPearls Publishing. 2020. http://www.ncbi.nlm.nih.gov/books/NBK499977/. Retrieved 2020-10-30. 
  9. TPA Therapy. Treasure Island: StatPearls. 2020. 
  10. Solomon, Caren G., ed (July 2020). "Acute Ischemic Stroke". The New England Journal of Medicine 383 (3): 252–260. doi:10.1056/NEJMcp1917030. PMID 32668115.  https://dx.doi.org/10.1056%2FNEJMcp1917030
  11. "Mechanical Thrombectomy Outcomes With and Without Intravenous Thrombolysis in Stroke Patients: A Meta-Analysis". Stroke 48 (9): 2450–2456. September 2017. doi:10.1161/STROKEAHA.117.017320. PMID 28747462.  https://dx.doi.org/10.1161%2FSTROKEAHA.117.017320
  12. "Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke 47 (2): 581–641. February 2016. doi:10.1161/STR.0000000000000086. PMID 26696642.  https://dx.doi.org/10.1161%2FSTR.0000000000000086
  13. "Safety and Efficacy of Repeated Thrombolysis with Alteplase in Early Recurrent Ischemic Stroke: A Systematic Review". Journal of Stroke and Cerebrovascular Diseases 28 (10): 104290. October 2019. doi:10.1016/j.jstrokecerebrovasdis.2019.07.006. PMID 31371140.  https://dx.doi.org/10.1016%2Fj.jstrokecerebrovasdis.2019.07.006
  14. "Pediatric Thrombolysis: A Practical Approach". Frontiers in Pediatrics 5: 260. December 2017. doi:10.3389/fped.2017.00260. PMID 29270396.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5723643
  15. "Thrombolysis in pediatric stroke study". Stroke 46 (3): 880–5. March 2015. doi:10.1161/STROKEAHA.114.008210. PMID 25613306.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4342311
  16. "Recombinant tissue plasminogen activators (rtPA): a review". Clinical Pharmacology and Therapeutics 97 (3): 274–85. March 2015. doi:10.1002/cpt.33. PMID 25670034.  https://dx.doi.org/10.1002%2Fcpt.33
  17. "Thrombolytics for Acute Myocardial Infarction in a Pre-Hospital Setting: A Review of Comparative Safety and Guidelines". CADTH. July 2019. https://www.cadth.ca/sites/default/files/pdf/htis/2019/RC1144%20Final.pdf. Retrieved 12 November 2020. 
  18. "Comparative efficacy and safety of reperfusion therapy with fibrinolytic agents in patients with ST-segment elevation myocardial infarction: a systematic review and network meta-analysis". Lancet 390 (10096): 747–759. August 2017. doi:10.1016/s0140-6736(17)31441-1. PMID 28831992.  https://dx.doi.org/10.1016%2Fs0140-6736%2817%2931441-1
  19. "Update on Thrombolytic Therapy in Acute Pulmonary Thromboembolism". The Eurasian Journal of Medicine 51 (2): 186–190. June 2019. doi:10.5152/eurasianjmed.2019.19291. PMID 31258361.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=6592452
  20. "Systemic Thrombolysis for Pulmonary Embolism: A Review". P & T 41 (12): 770–775. December 2016. PMID 27990080.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5132419
  21. "Ultrasound-assisted thrombolysis for acute pulmonary embolism: a systematic review". European Heart Journal 35 (12): 758–64. March 2014. doi:10.1093/eurheartj/ehu029. PMID 24497337.  https://dx.doi.org/10.1093%2Feurheartj%2Fehu029
  22. "Lower dosage of recombinant tissue-type plasminogen activator (rt-PA) in the treatment of acute pulmonary embolism: a systematic review and meta-analysis". Thrombosis Research 133 (3): 357–63. March 2014. doi:10.1016/j.thromres.2013.12.026. PMID 24412030.  https://dx.doi.org/10.1016%2Fj.thromres.2013.12.026
  23. "Thrombolysis compared with heparin for the initial treatment of pulmonary embolism: a meta-analysis of the randomized controlled trials". Circulation 110 (6): 744–9. August 2004. doi:10.1161/01.CIR.0000137826.09715.9C. PMID 15262836.  https://dx.doi.org/10.1161%2F01.CIR.0000137826.09715.9C
  24. "Management of PE". January 2020. http://www.acc.org/latest-in-cardiology/articles/2020/01/27/07/42/management-of-pe. 
  25. "Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report". Chest 149 (2): 315–352. February 2016. doi:10.1016/j.chest.2015.11.026. PMID 26867832.  https://dx.doi.org/10.1016%2Fj.chest.2015.11.026
  26. "Thrombolytic therapy for central venous catheter occlusion". Haematologica 97 (5): 641–50. May 2012. doi:10.3324/haematol.2011.050492. PMID 22180420.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3342964
  27. "Management of occlusion and thrombosis associated with long-term indwelling central venous catheters". Lancet 374 (9684): 159–69. July 2009. doi:10.1016/S0140-6736(09)60220-8. PMID 19595350.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2814365
  28. "Efficacy, safety, and cost of thrombolytic agents for the management of dysfunctional hemodialysis catheters: a systematic review". Pharmacotherapy 31 (10): 1031–40. October 2011. doi:10.1592/phco.31.10.1031. PMID 21950645.  https://dx.doi.org/10.1592%2Fphco.31.10.1031
  29. "Changing contraindications for t-PA in acute stroke: review of 20 years since NINDS". Current Cardiology Reports 17 (10): 81. October 2015. doi:10.1007/s11886-015-0633-5. PMID 26277361.  https://dx.doi.org/10.1007%2Fs11886-015-0633-5
  30. "Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials". Lancet 384 (9958): 1929–35. November 2014. doi:10.1016/S0140-6736(14)60584-5. PMID 25106063.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4441266
  31. "Alteplase Use During Pregnancy". https://www.drugs.com/pregnancy/alteplase.html. 
  32. World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 
  33. Executive summary: the selection and use of essential medicines 2019: report of the 22nd WHO Expert Committee on the selection and use of essential medicines. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.05. License: CC BY-NC-SA 3.0 IGO. 
  34. "Factors delaying intravenous thrombolytic therapy in acute ischaemic stroke: a systematic review of the literature". Journal of Neurology 268 (8): 2723–2734. March 2020. doi:10.1007/s00415-020-09803-6. PMID 32206899.  https://dx.doi.org/10.1007%2Fs00415-020-09803-6
  35. "Presentation, Evaluation, Management, and Outcomes of Acute Stroke in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis". Neuroepidemiology 51 (1–2): 104–112. 2018. doi:10.1159/000491442. PMID 30025394.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=6322558
  36. "Citation bias favoring positive clinical trials of thrombolytics for acute ischemic stroke: a cross-sectional analysis". Trials 17 (1): 473. September 2016. doi:10.1186/s13063-016-1595-7. PMID 27677444.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5039798
  37. "Sex differences in IV thrombolysis treatment for acute ischemic stroke: A systematic review and meta-analysis". Neurology 95 (1): e11–e22. July 2020. doi:10.1212/wnl.0000000000009733. PMID 32522796.  https://dx.doi.org/10.1212%2Fwnl.0000000000009733
  38. "Cost of Alteplase Has More Than Doubled Over the Past Decade". Stroke 48 (7): 2000–2002. July 2017. doi:10.1161/strokeaha.116.015822. PMID 28536176.  https://dx.doi.org/10.1161%2Fstrokeaha.116.015822
  39. "Tissue-type plasminogen activator: a historical perspective and personal account". Journal of Thrombosis and Haemostasis 2 (4): 541–6. April 2004. doi:10.1111/j.1538-7933.2004.00645.x. PMID 15102005.  https://dx.doi.org/10.1111%2Fj.1538-7933.2004.00645.x
  40. "Cathflo Activase Uses, Side Effects & Warnings". https://www.drugs.com/mtm/cathflo-activase.html. 
  41. "Activase: FDA-Approved Drugs". https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=103172. 
  42. "The tissue-type plasminogen activator story". Arteriosclerosis, Thrombosis, and Vascular Biology 29 (8): 1151–5. August 2009. doi:10.1161/ATVBAHA.108.179655. PMID 19605778.  https://dx.doi.org/10.1161%2FATVBAHA.108.179655
  43. "Twenty-Year History of the Evolution of Stroke Thrombolysis With Intravenous Alteplase to Reduce Long-Term Disability". Stroke 46 (8): 2341–6. August 2015. doi:10.1161/STROKEAHA.114.007564. PMID 26152294.  https://dx.doi.org/10.1161%2FSTROKEAHA.114.007564
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