[Carotid TEA and perioperative thrombolysis: a new concept in therapy of acute ischemic stroke].
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.
Eckstein
H H
HH
Sektion Gefässchirurgie, Chirurgische Universitätsklinik Heidelberg.
Laubach
H
H
Schaible
A
A
Schumacher
H
H
Hacke
W
W
Forsting
M
M
Allenberg
J R
JR
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
D010959:Tissue Plasminogen Activator; D014568:Urokinase-Type Plasminogen Activator
Carotis-TEA und perioperative Thrombolyse: ein neues Konzept in der Therapie des akuten ischämischen Schlaganfalls.