[New options in the therapeutic management of acute ischaemic stroke. Good results with combined i. v. and i. a. lysis and mechanical thrombectomy]. / Neue Wege bei der Akuttherapie des ischämischen Schlaganfalls. Behandlungserfolge mit kombinierter i. v. und i. a. Lyse sowie mechanischer Thrombektomie.
Fortschr Neurol Psychiatr
; 78(11): 652-7, 2010 Nov.
Article
em De
| MEDLINE
| ID: mdl-21069630
ABSTRACT
BACKGROUND:
Standard therapy for acute ischaemic stroke is the intravenous thrombolysis with rtPA. A combined therapy with intravenous bridging and consecutive intraarterial thrombolysis and mechanical thrombectomy is a relatively new option in patients with proximal vessel occlusion. PATIENTS ANDMETHODS:
10 Patients with a CTA proven proximal vessel occlusion in the anterior circulation (ACI, carotis bifurcation, MCA) in CTA were treated with a combined therapy with i. v. and i. a. thrombolysis and thrombectomy with a Solitaire FR stent device.RESULTS:
All Patients were recanalized, the NIHSS changed from 15.6 to 3.3. 8 out of 10 patients had nearly no symptoms when dismissed. There were no direct therapeutic complications.CONCLUSION:
Combined therapy with i. v. and i. a. thrombolysis and thombectomy with the Solitaire FR stent device is a promising option in patients with acute proximal vessel occlusion in the anterior circulation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia Trombolítica
/
Isquemia Encefálica
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Trombectomia
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Acidente Vascular Cerebral
/
Fibrinolíticos
Tipo de estudo:
Etiology_studies
Limite:
Adult
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Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
De
Revista:
Fortschr Neurol Psychiatr
Ano de publicação:
2010
Tipo de documento:
Article