| Intra-arterial tirofiban infusion for partial recanalization with stagnant flow in hyperacute cerebral ischemic stroke. | |
| | |
MedLine Citation:
|
PMID: 22192548 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Early reocclusion is a major concern associated with poor clinical outcomes in patients with an ischemic cerebral stroke. This occurs most frequently in patients with partial initial recanalization. This study focuses on partial recanalization with stagnant antegrade flow after intravenous (IV) tPA or spontaneously, treated with the administration of intra-arterial (IA) tirofiban. Three patients with initial M1 occlusion on diagnostic studies had an occluded segment that was recanalized with stagnant flow after IV tPA or spontaneously. In all cases, IA tirofiban was administrated. We evaluated the distal blood flow and the degree of vascular narrowing in the pre and post-procedure angiography and at follow-up in addition to the clinical status. In all patients, severe vascular narrowing with stagnation of blood flow was detected in the initial M1. After infusion of IA tirofiban, improvement of the distal blood flow was achieved rapidly within 40 minutes in all patients. The severe vascular narrowing resolved rapidly in two patients without residual stenosis. In one patient, moderate vascular narrowing was still present. The median baseline National Institutes of Health Stroke Scale (NIHSS) scores were 18 and the median post-procedural NIHSS scores were 2 at two weeks. No intracerebral hemorrhage occurred in any of the patients. Treatment with IA tirofiban was safe and effective in patients with partial initial recanalization. It can be suggested that detection of any partial recanalization is time for administration of glycoprotein IIb-IIIa receptor inhibitor in hyperacute ischemic stroke. |
| | |
Authors:
|
Seung Kug Baik; S J Oh; K-P Park; J-H Lee |
Related Documents
:
|
22089608 - Cardiovascular autonomic functions & cerebral autoregulation in patients with orthostat... 3074998 - Elimination kinetics of circulating antigens and immune complexes. ii. hepatic and extr... 4718968 - A comparative survey of the results of analyses of blood serum in clinical chemistry la... 114638 - Distribution of gold in blood following administration of auranofin (sk&f d-39162). 4020688 - The transport of sugars across the perfused choroid plexus of the sheep. 21554308 - Congenital tetragametic blood chimerism explains a case of questionable paternity* |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2011-12-16 |
Journal Detail:
|
Title: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Volume: 17 ISSN: 1591-0199 ISO Abbreviation: Interv Neuroradiol Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-23 Completed Date: 2012-03-01 Revised Date: 2012-05-02 |
Medline Journal Info:
|
Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
|
Languages: eng Pagination: 442-51 Citation Subset: IM |
Affiliation:
|
Department of Diagnostic Radiology, Pusan National University Yangsan Hospital, Medical Research Institute, Pusan National University School of Medicine, Yangsan, Korea. skbaik9@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adult Blood Flow Velocity Brain Ischemia / drug therapy*, radiography Cerebral Angiography Diffusion Magnetic Resonance Imaging Female Fibrinolytic Agents / administration & dosage* Humans Infusions, Intra-Arterial Male Middle Aged Retrospective Studies Stroke / drug therapy*, radiography Treatment Outcome Tyrosine / administration & dosage, analogs & derivatives* |
| Chemical | |
Reg. No./Substance:
|
0/Fibrinolytic Agents; 144494-65-5/tirofiban; 55520-40-6/Tyrosine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endovascular management in patients with acute basilar artery obstruction: low-dose intra-arterial u...
Next Document: Insight into the periprocedural embolic events of internal carotid artery angioplasty. A report of f...