title: [Local intraarterial fibrinolysis in central retinal artery occlusion: case report].
abstract: The authors report a case of local intraarterial fibrinolysis (LIF) in central retinal artery occlusion (CRAO). A 79-year-old man with stenosis of the left internal carotid artery (ICA) suffered sudden loss of vision in his left eye. LIF was carried out using a microcatheter in the origin of the ophthalmic artery on the side of the CRAO. Treatment was performed with 120,000 IU of urokinase. After LIF, marked improvement of vision was established. No complication occurred during LIF. One month later, carotid artery stenting was performed for the left ICA stenosis. We consider LIF in CRAO is effective treatment.
authors.affiliation: Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Tagawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Sugiu
authors.forename: Kouji
authors.initials: K
authors.lastname: Tokunaga
authors.forename: Wataru
authors.initials: W
authors.lastname: Sasahara
authors.forename: Kyouichi
authors.initials: K
authors.lastname: Watanabe
authors.forename: Nobuo
authors.initials: N
authors.lastname: Tamesa
authors.forename: Shigeki
authors.initials: S
authors.lastname: Ono
authors.forename: Keisuke
authors.initials: K
authors.lastname: Onoda
authors.forename: Isao
authors.initials: I
authors.lastname: Date
mesh_terms: D000368:Aged; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D015356:Retinal Artery Occlusion / Q000188:drug therapy* / Q000209:etiology; D015607:Stents; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
chemical_list: D014568:Urokinase-Type Plasminogen Activator