The present conditions of the rt-PA therapy in the small institution

Abstract

We report the present conditions of the rt-PA therapy in the small institution.
The rt-PA therapy was started from Oct. 2007 in our hospital. Since then until March 2010, 314 cases of acute cerebral infarction were transferred to our hospital. In 15 (4.8%) out of those 314 cases, rt-PA treatment was applied. Just after their admission to the hospital, CT, MRI and MRA were routinely carried out in those 15 cases. Re-canalization of the occluded artery was obtained in 12 cases, not in remaining 3. There was a discrepancy in post treatment symptomatic changes between the cases showed the re-canalization and the no re-canalization. Cases in which the re-canalization was obtained, did not always show the improvement of symptoms.
As a result, 12 cases showed the improvement of clinical symptoms, 2 cases showed no change and one died by digestive organ bleeding.
In the small institution, cooperation with not only physicians in different department, nurses, medical technicians but also almost all the members in the hospital is indispensable. We have a class or course about the rt-PA treatment 3 times in a year to provide the motivation to all the staffs in our hospital.