title: [Carotid TEA and perioperative thrombolysis: a new concept in therapy of acute ischemic stroke].
abstract: In seven carotid-related acute hemispheric strokes with simultaneous embolic occlusion of the middle cerebral artery thrombolysis with urocinase or rt-PA was performed preoperatively (n = 3) or intraoperatively (n = 4) after carotid endarterectomy. Four patients recovered totally, three patients showed a remarkable improvement and were able to walk postoperatively. The combination of carotid endarterectomy and thrombolysis (simultaneous or staged) is a new option in the emergency treatment of an acute carotid-related stroke and should be evaluated in prospective interdisciplinary studies.
authors.affiliation: Sektion Gefässchirurgie, Chirurgische Universitätsklinik Heidelberg.
authors.forename: H H
authors.initials: HH
authors.lastname: Eckstein
authors.forename: H
authors.initials: H
authors.lastname: Laubach
authors.forename: A
authors.initials: A
authors.lastname: Schaible
authors.forename: H
authors.initials: H
authors.lastname: Schumacher
authors.forename: W
authors.initials: W
authors.lastname: Hacke
authors.forename: M
authors.initials: M
authors.lastname: Forsting
authors.forename: J R
authors.initials: JR
authors.lastname: Allenberg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D003131:Combined Modality Therapy; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
chemical_list: D010959:Tissue Plasminogen Activator; D014568:Urokinase-Type Plasminogen Activator
vernacular_title: Carotis-TEA und perioperative Thrombolyse: ein neues Konzept in der Therapie des akuten ischämischen Schlaganfalls.