[Local intraarterial fibrinolysis in central retinal artery occlusion: case report].
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.
Tagawa
Masahiko
M
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Japan.
Sugiu
Kenji
K
Tokunaga
Kouji
K
Sasahara
Wataru
W
Watanabe
Kyouichi
K
Tamesa
Nobuo
N
Ono
Shigeki
S
Onoda
Keisuke
K
Date
Isao
I
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*
D014568:Urokinase-Type Plasminogen Activator