Intra-arterial thrombolysis for perioperative stroke after open heart surgery.
Recent major surgery is an exclusion criterion for thrombolysis. Six patients with acute ischemic stroke underwent intra-arterial thrombolysis after recent open heart surgery without clinically significant bleeding complications, although one patient developed a small, asymptomatic cerebellar hemorrhage. Intra-arterial thrombolysis may be an option for patients with cerebral embolism in the perioperative period.
Katzan
I L
IL
Cerebrovascular Center, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA.
Masaryk
T J
TJ
Furlan
A J
AJ
Sila
C A
CA
Perl
J
J
Andrefsky
J C
JC
Cosgrove
D M
DM
Sabik
J F
JF
McCarthy
P M
PM
D000368:Aged; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D008875:Middle Aged; D015912:Thrombolytic Therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator