Serendipitous recanalization of basilar artery occlusion.
J Stroke Cerebrovasc Dis
; 22(8): e671-3, 2013 Nov.
Article
en En
| MEDLINE
| ID: mdl-23834852
ABSTRACT
OBJECTIVE:
To describe a case of recanalization of a basilar artery occlusion with intravenous (IV) tenecteplase. CASE A 74-year-old man with a history of cardiomyopathy presented to an outside hospital with acute vertigo, dysarthria, gaze deviation, and ataxia. Computerized tomography arteriography demonstrated occlusion of the proximal basilar artery. IV tissue plasminogen activator was ordered; however, the patient received a cardiac dose of IV tenecteplase. The patient was transferred to our facility, whereby symptoms resolved, and repeat computerized tomography arteriography displayed recanalization of the basilar artery.CONCLUSIONS:
Tenecteplase has enhanced biochemical and pharmacokinetic properties that may be ideal for treatment of basilar artery occlusion and should be further investigated in a randomized clinical trial.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Insuficiencia Vertebrobasilar
/
Terapia Trombolítica
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Activador de Tejido Plasminógeno
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Fibrinolíticos
/
Errores de Medicación
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Asunto de la revista:
ANGIOLOGIA
/
CEREBRO
Año:
2013
Tipo del documento:
Article