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From the Cerebrovascular Unit, Departments of Neurology (Drs. Cocho, Belvís, Martí-Fàbregas, Molina-Porcel, Díaz-Manera, Aleu, Pagonabarraga, García-Bargo, and Martí-Vilalta) and Emergency (Dr. Mauri), Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.
Address correspondence and reprint requests to Dr. Dolores Cocho, Servicio de Neurología, Hospital de la Santa Creu i Sant Pau, Avda. Sant Antoni M. Claret 167, E-08025 Barcelona, Spain; E-mail: dcocho{at}hsp.santpau.es
Despite evidence for the efficacy of thrombolytic therapy in acute ischemic stroke, only 1 to 7% of patients receive this therapy. The authors sought to determine the reasons for exclusion from tissue plasminogen activator (tPA) in an acute setting and found avoidable causes in 18% of patients. Improvements in intrahospital coordination would increase the number of patients who might benefit from tPA treatment at the authors center.
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