Changes in hemocoagulation in acute stroke patients after one-hour sono-thrombolysis using a diagnostic probe.
The aim was to monitor the changes in hemocoagulation parameters in acute ischemic stroke (AIS) patients after sono-thrombolysis of the occluded middle cerebral artery using a duplex transcranial probe with 2.0-MHz frequency in Doppler mode. Sixteen AIS patients indicated for intravenous thrombolysis (IVT) (8 males; mean age 68.3 +/- 7.1 y) and 16 AIS patients contraindicated for IVT (11 males; mean age 67.9 +/- 7.9 y) were randomized for sono-thrombolysis (8 + 8 patients) or standard treatment (control group) (8 + 8 patients). The significant decrease of plasminogen activator inhibitor-1, plasminogen and alpha-2-antiplasmin activity by a mean of 60, 32 and 24%, respectively, and the increase of tissue plasminogen activator by a mean of 56% was found after sono-thrombolysis when compared with control group (p < 0.0125); these changes were more evident in patients treated with a combination of sono-thrombolysis and IVT (79, 38, 50 and 82%, respectively) than in patients treated by sono-thrombolysis alone (34, 13, 17 and 30%, respectively).
Skoloudík
David
D
Department of Neurology, University Hospital, Ostrava, Czech Republic. skoloudik@hotmail.com
Fadrná
Tána
T
Roubec
Martin
M
Bar
Michal
M
Zapletal
Ondrej
O
Blatný
Jirí
J
Langová
Katerina
K
Bardon
Petr
P
Sanák
Daniel
D
Kanovský
Petr
P
Herzig
Roman
R
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001777:Blood Coagulation / Q000528:radiation effects*; D004453:Echoencephalography / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013010:Sonication / Q000295:instrumentation*; D020521:Stroke / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation* / Q000379:methods; D055815:Young Adult