Publication: Thrombolysis with Tenecteplase for Basilar Artery Occlusion in Neuro and Allied Clinic: Importance of Clinical Assessment and Drip and Ship Model in Nepal
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | Thapa, L | |
| dc.contributor.author | Ghimire, MR | |
| dc.contributor.author | Bhattarai, S | |
| dc.contributor.author | Shrestha, AM | |
| dc.contributor.author | Rai, N | |
| dc.contributor.author | Paudel, R | |
| dc.date.accessioned | 2026-01-08T08:08:33Z | |
| dc.date.available | 2026-01-08T08:08:33Z | |
| dc.date.issued | 2024 | |
| dc.description | Thapa L,1,2 Ghimire MR,3 Bhattarai S,2 Shrestha AM,2 Rai N,4 Paudel R2 1Neuro and Allied Clinic (NC) Anchalpur, Bhairahawa 2National Neuro Center (NNC) Maharajgunj, Kathmandu 3Devdaha Medical College Devdaha, Rupandehi 4KIST Medical College Gwarko, Lalitpur | |
| dc.description.abstract | ABSTRACT Tenecteplase, a new thrombolytic drug, is now widely recommended and used for treating acute ischemic stroke, and timely thrombolysis within 4.5 hours is crucial for better outcomes. However, due to limited stroke awareness, transportation difficulties, and inadequate access to experts and comprehensive stroke care centers, fewer than 15% of stroke patients in Nepal receive thrombolytic therapy. The “drip and ship” model, which involves starting thrombolysis at a non- comprehensive stroke care center and transferring the patient to another center for further care, can effectively overcome these obstacles, provided trained personnel are available at non-comprehensive stroke care centers. We report a case of acute ischemic stroke treated with thrombolysis within 4.5 hours of symptom onset at a non-comprehensive stroke care center, followed by transfer to another center for ongoing care, demonstrating the feasibility and potential benefits of the drip and ship model in resource-limited settings. KEY WORDS Basilar artery occlusion, Drip and ship model, Tenecteplase, Thrombolysis | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/4151 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.subject | Basilar artery occlusion | |
| dc.subject | Drip and ship model | |
| dc.subject | Tenecteplase | |
| dc.subject | Thrombolysis | |
| dc.title | Thrombolysis with Tenecteplase for Basilar Artery Occlusion in Neuro and Allied Clinic: Importance of Clinical Assessment and Drip and Ship Model in Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 122 | |
| oaire.citation.startPage | 120 | |
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