RT Journal Article SR Electronic T1 Early Experience With Tenecteplase at a Comprehensive Stroke Center JF Neurology: Clinical Practice FD Lippincott Williams & Wilkins SP e885 OP e889 DO 10.1212/CPJ.0000000000001096 VO 11 IS 6 A1 Spozhmy Panezai A1 Ilya Dubinsky A1 Sindhu Sahito A1 Nancy Gadallah A1 Laura Suhan A1 Siddhart Mehta A1 Jawad Kirmani YR 2021 UL http://cp.neurology.org/content/11/6/e885.abstract AB Purpose of Review Tenecteplase has been studied and recommended as an alternative thrombolytic agent in patients with acute stroke. A brief review of clinical trials and guidelines pertinent to our clinical decision algorithm is described. This is followed by operational steps that were made to create and implement a clinical pathway based on available evidence in which tenecteplase is used in select patients with stroke at our comprehensive stroke center.Recent Findings A number of patients have been treated at our center with IV tenecteplase. A case is presented to illustrate the successful implementation of this new process.Summary Development of our protocol is discussed in detail to enable other centers to create their own clinical pathways for thrombolytic treatment of acute ischemic stroke using tenecteplase.