title: Urgent superficial temporal artery to middle cerebral artery bypass shortly after intravenous rt-PA.
abstract: Whether to provide surgical intervention within 24 hours of intravenous recombinant tissue plasminogen activator (rt-PA) treatment is a subject of controversy. In this study, we report a case in which neurological deterioration was prevented by urgent bypass surgery performed shortly after rt-PA treatment.
authors.affiliation: Department of Neurosurgery and Stroke Unit, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan. yi44ta@yahoo.co.jp
authors.forename: Yohei
authors.initials: Y
authors.lastname: Ishishita
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Kimura
authors.forename: Akio
authors.initials: A
authors.lastname: Morita
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000628:therapy*; D002544:Cerebral Infarction / Q000628:therapy*; D004401:Dysarthria / Q000209:etiology; D004638:Emergency Treatment; D005158:Facial Paralysis / Q000209:etiology; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D020768:Middle Cerebral Artery / Q000601:surgery; D010291:Paresis / Q000209:etiology; D013699:Temporal Arteries / Q000601:surgery; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator