학술논문

Intra-arterial thrombolysis in 24 consecutive patients with internal carotid artery T occlusions.
Document Type
Journal Article
Source
Journal of Neurology, Neurosurgery & Psychiatry. Jun2003, Vol. 74 Issue 6, p739-742. 4p. 2 Black and White Photographs, 3 Charts.
Subject
*THROMBOLYTIC therapy
*CEREBROVASCULAR disease
*HEMORRHAGE
*CAROTID artery
Language
ISSN
0022-3050
Abstract
Objectives: To determine the safety, efficacy, and predictors of favourable outcome of intra-arterial thrombolysis in acute stroke attributable to internal carotid "T"occlusionMethods: The authors analysed 24 consecutive patients with T occlusions of the internal carotid artery treated by local intra-arterial thrombolysis using urokinase.Results: The median baseline National Institutes of Health Stroke Scale was 19. The average time from symptom onset to treatment was 237 minutes. Four patients (16.6%) had a favourable (modified Rankin Scale score (mRSConclusions: Acute stroke attributable to carotid T occlusion remains a condition with a generally poor prognosis even when intra-arterial thrombolysis is performed. Favourable outcome was seen only in patients with sufficient leptomeningeal collaterals. [ABSTRACT FROM AUTHOR]