| Local intra-arterial fibrinolysis in acute basilar artery occlusion. | |
| | |
MedLine Citation:
|
PMID: 20566075 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Summary: Acute basilar artery (BA) occlusion is typically associated with poor outcome; however newer diagnostic and treatment modalities have the potential to improve prognosis. In this study, six patients with acute BA occlusion were followed and the effectiveness of local intra-arterial fibrinolysis (LIF) and subsequent percutaneous transluminal angioplasty (PTA) with a balloon catheter were assessed. Of the six patients with BA occlusion observed in this study, two had extended brain stem infarction on diffusion weighted image (DWI) and were treated conservatively. The other four patients received LIF at an average of 5.2 hours from occlusion onset. Three of these four patients received additional PTA with compliant balloon catheters. All four of the patients who received LIF achieved recanalization of the BA trunk and showed a favorable clinical outcome. These findings suggest that LIF is beneficial for selected patients with BA occlusion and that successful recanalization is indicative of a good prognosis. Because of the poor prognosis associated with conservative therapy, we conclude that LIF should be attempted even for comatose patients or in cases of prolonged occlusion time. |
| | |
Authors:
|
Y Enomoto; S Yoshimura; H Kitajima; N Tamakawa; T Iwama |
Related Documents
:
|
9724125 - Giant aneurysms of the middle cerebral artery trifurcation treated with extracranial-in... 9117035 - Thromboxane-mediated alveolar responses to acute obstruction of the pulmonary vasculature. 9515745 - Occlusive and non-occlusive gastrointestinal ischaemia: a clinical review with special ... 20594525 - Catheter-directed intra-arterial abciximab administration for acute thrombotic occlusio... 8924235 - Effects of corticosteroid and chlorambucil on multiple pulmonary artery aneurysms in be... 2810205 - Arterialized venous skin flaps for the injured finger. |
Publication Detail:
|
Type: Journal Article Date: 2007-06-27 |
Journal Detail:
|
Title: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Volume: 13 Suppl 1 ISSN: 1591-0199 ISO Abbreviation: Interv Neuroradiol Publication Date: 2007 Mar |
Date Detail:
|
Created Date: 2010-06-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
|
Languages: eng Pagination: 44-7 Citation Subset: - |
Affiliation:
|
Department of Neurosurgery, Graduate School of Medicine, Gifu University, Gifu, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The current status of treatment strategies for cerebral aneurysms in nagoya university and affiliate...
Next Document: Endovascular surgery for ruptured aneurysms with vasospasm.