![](/images/graphics-bg.png)
Mechanical Recanalization following i.v. Thrombolysis: A Retrospective Analysis regarding Secondary Hemorrhagic Infarctions and Parenchymal Hematomas
Joint Authors
Höltje, J.
Bonk, F.
Anstadt, A.
Terborg, C.
Pohlmann, C.
Urban, P. P.
Brüning, R.
Source
Radiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
In acute stroke by occlusion of the proximal medial cerebral artery (MCA) or the distal internal carotid artery, intravenous thrombolysis is an established treatment.
Another option is mechanical recanalization.
It remains unclear if the combination of both methods poses an additional bleeding risk.
The aim of this retrospective analysis is to determine the proportion of hemorrhagic infarctions and parenchymal hematomas.
Methods.
Inclusion criteria were an occlusion of the carotid T or proximal MCA treated with full dose thrombolysis and mechanical recanalization.
31 patients were selected.
Devices used were Trevo, Penumbra Aspiration system, Penumbra 3D Retriever, and Revive.
The initial control by computed tomography was carried out with a mean delay to intervention of 10.9 hours (SD: 8.5 hours).
Results.
A slight hemorrhagic infarction (HI1) was observed in 2/31 patients, and a more severe HI2 occurred in two cases.
A smaller parenchymal hematoma (PH1) was not seen and a space-occupying PH2 was seen in 2/31 cases.
There was no significant difference in the probability of intracranial bleeding after successful (thrombolysis in cerebral infarctions 2b and 3) or unsuccessful recanalization.
Conclusion.
The proportion of intracranial bleeding using mechanical recanalization following intravenous thrombolysis appears comparable with reports using thrombolysis alone.
American Psychological Association (APA)
Höltje, J.& Bonk, F.& Anstadt, A.& Terborg, C.& Pohlmann, C.& Urban, P. P.…[et al.]. 2015. Mechanical Recanalization following i.v. Thrombolysis: A Retrospective Analysis regarding Secondary Hemorrhagic Infarctions and Parenchymal Hematomas. Radiology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076044
Modern Language Association (MLA)
Höltje, J.…[et al.]. Mechanical Recanalization following i.v. Thrombolysis: A Retrospective Analysis regarding Secondary Hemorrhagic Infarctions and Parenchymal Hematomas. Radiology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1076044
American Medical Association (AMA)
Höltje, J.& Bonk, F.& Anstadt, A.& Terborg, C.& Pohlmann, C.& Urban, P. P.…[et al.]. Mechanical Recanalization following i.v. Thrombolysis: A Retrospective Analysis regarding Secondary Hemorrhagic Infarctions and Parenchymal Hematomas. Radiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076044
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076044