Document Detail


Thrombolytic therapy for delayed, in-hospital stroke after cardiac surgery.
MedLine Citation:
PMID:  14530035     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five patients who had delayed stroke after cardiac surgery underwent intraarterial administration of a fibrinolytic agent for thromboembolism (n = 4) or thrombosis (n = 1) of the cerebral artery. Complete recanalization of the occluded artery was obtained in 3 patients and partial recanalization in 2. Additional angioplasty for basilar artery stenosis was performed in 1 patient. No patients exhibited rebleeding into the pericardial space or wound bleeding. All patients survived with moderate or full functional recovery. Immediate cerebral angiography and local thrombolysis may improve functional outcome and survival in patients with postcardiotomy cerebral thromboembolism.
Authors:
Ikuo Fukuda; Tomohiro Imazuru; Motoo Osaka; Ko Watanabe; Kotoo Meguro; Mitsuyosi Wada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  76     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-07     Completed Date:  2003-11-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1293-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery I, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan. ikuofuku@cc.hirosaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Surgical Procedures*
Cerebral Angiography
Female
Fibrinolytic Agents / administration & dosage
Humans
Intracranial Embolism and Thrombosis / drug therapy
Male
Middle Aged
Postoperative Complications
Stroke / drug therapy*
Thrombolytic Therapy*
Urokinase-Type Plasminogen Activator / administration & dosage
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; EC 3.4.21.73/Urokinase-Type Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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