Urgent stenting of the M2 (superior) division of the middle cerebral artery after systemic thrombolysis in acute stroke.
We report a case of a 54-year-old man who presented with a right middle cerebral artery territory infarct and was treated with systemic thrombolytics. He continued to fluctuate neurologically and, with the use of angiography, was found to have an occlusion of the right M2 artery (superior division). This occlusion was successfully revascularized with a coronary stent.
Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
R
R
Gupta
T G
TG
Jovin
A
A
Tayal
M B
MB
Horowitz
D000208:Acute Disease; D004638:Emergency Treatment; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020768:Middle Cerebral Artery; D015607:Stents; D020521:Stroke / Q000188:drug therapy* / Q000601:surgery*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator