Local intraarterial fibrinolytic therapy in inaccessible internal carotid occlusion.
Two exemplary cases of upper carotid occlusion and successful local intraarterial fibrinolytic therapy are described. To achieve a positive result one has to perform a balloon occlusion of the affected internal carotid artery while applying the fibrinolytic agent. Possible time limits of instigating therapy are discussed especially if the lenticulostriatal arteries are additionally affected.
D000328:Adult; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D002343:Carotid Artery, Internal / Q000187:drug effects; D002533:Cerebral Angiography; D005260:Female; D005342:Fibrinolysis / Q000187:drug effects; D006801:Humans; D007269:Injections, Intra-Arterial; D008875:Middle Aged; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator