•First Generation               Streptokinase               Urokinase •Second Generation               Alteplase (t-PA) •Third Generation               Reteplase  - Commenly Used               Tenecteplase – Commenly Used               Other: Lanoteplase(nPA),                            Saruplase is prourokinase (scuPA),                            HTUPA (human tissue urokinase type                            plasminogen activator) History: •In 1979, Belgian biochemist, Dr Desire Collen received a line of aggressive melanoma cells derived from a patient named Bowes. These melanoma cells showed an unusual amount of fibrinolytic activity, and Collen and colleagues worked to purify the fibrin-digesting agent. Within the year, he demonstrated that the agent was t-PA.

•It turned out that the Bowes cell line produced 100 to 1000 times more t-PA than any other known source at the time. He began…