Acute embolic carotid occlusion after cardiac catheterization: effect of local intra-arterial urokinase thrombolysis.
A 64-year-old woman developed a severe embolic cerebral attack with total left hemiplegia approximately 30 hours after cardiac catheterization for mitral stenosis. She underwent intra-arterial thrombolysis of the right internal carotid artery four and one-half hours after the onset of neurologic deficit with subsequent recanalization of the occluded vessel and near complete neurologic recovery.
Sztajzel
J
J
Cardiology Center, University Hospital, Geneva, Switzerland.
Rüfenacht
D
D
Megret
M
M
Sztajzel
R
R
Burgan
S
S
Rutishauser
W
W
D000208:Acute Disease; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000187:drug effects; D002404:Catheterization / Q000295:instrumentation*; D002533:Cerebral Angiography / Q000187:drug effects; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D009460:Neurologic Examination / Q000187:drug effects; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*