Successful Endovascular Mechanical Thrombolysis in a Patient with Hyperacute Tandem Occlusions of Middle Cerebral Artery and Extracranial Internal Carotid Artery / 대한뇌졸중학회지
Korean Journal of Stroke
;
: 147-151, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-24630
ABSTRACT
Previous studies have shown that patients with tandem occlusions involving extracranial internal carotid artery (ICA) and middle cerebral artery (MCA) have lower likelihood of recanalization by standard intravenous thrombolytic therapy. A 70-years-old man with a history of hypertension was admitted because of left hemiplegia and drowsiness which developed 47 minutes ago. On neurologic examination, he was drowsy and showed neglect syndrome as well as left hemiplegia. Brain CT angiography showed tandem occlusions at right extracranial ICA and proximal MCA. The administration of intravenous (IV) tissue plasminogen activator (tPA) did not improve his symptoms. We performed angioplasty and stenting for proximal ICA occlusion followed by mechanical thrombolysis for MCA occlusion. After the endovascular treatment, the MCA was recanalized and the patient recovered to show only mild left side weakness. This case shows successful treatment of hyperacute ischemic infarction from tendem occlusion of right MCA and proximal ICA with endovascular treatment following IV tPA thrombolysis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fases do Sono
/
Encéfalo
/
Angiografia
/
Artéria Carótida Interna
/
Stents
/
Terapia Trombolítica
/
Infarto Cerebral
/
Ativador de Plasminogênio Tecidual
/
Angioplastia
/
Artéria Cerebral Média
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Stroke
Ano de publicação:
2011
Tipo de documento:
Artigo
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