Multimodal Therapy for the Treatment of Severe Ischemic Stroke Combining Endovascular Embolectomy and Stenting of Long Intracranial Artery Occlusion
Joint Authors
Bunc, Matjaž
Pregelj, Rado
Dolenc, Vinko V.
Kocijančič, Igor J.
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-07-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Embolic occlusion of cerebral arteries is a major cause for stroke.
Intravenous thrombolysis showed positive results in this condition, however even when strict criteria are used, the risk of hemorrhagic transformation is possible.
Microsurgical embolectomy has been described earlier.
Purpose.
We performed multimodal therapy of cerebral artery occlusion.
Case Report.
We present a case of a 49-year-old female patient who—according to the National Institute of Health Stroke Scale (NIHSS)—was rated as 19 due to acute occlusion of the horizontal segment of the left middle cerebral artery (MCA).
After failed i.v.
thrombolysis, only a part of the clot could be evacuated by the endovascular approach—without restoration of blood flow.
Normal patency of the left MCA was re-established after stenting.
Within 72 hours, the patient had an NIHSS score of 14, with a small haematoma in the left hemisphere.
Conclusion.
In our case multimodal therapy combining i.v.
thrombolysis, mechanical disruption of thrombus, MCA stenting and platelet function antagonists, resulted in successful recanalization of the acutely occluded left MCA.
American Psychological Association (APA)
Bunc, Matjaž& Kocijančič, Igor J.& Pregelj, Rado& Dolenc, Vinko V.. 2010. Multimodal Therapy for the Treatment of Severe Ischemic Stroke Combining Endovascular Embolectomy and Stenting of Long Intracranial Artery Occlusion. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-448706
Modern Language Association (MLA)
Bunc, Matjaž…[et al.]. Multimodal Therapy for the Treatment of Severe Ischemic Stroke Combining Endovascular Embolectomy and Stenting of Long Intracranial Artery Occlusion. Case Reports in Medicine No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-448706
American Medical Association (AMA)
Bunc, Matjaž& Kocijančič, Igor J.& Pregelj, Rado& Dolenc, Vinko V.. Multimodal Therapy for the Treatment of Severe Ischemic Stroke Combining Endovascular Embolectomy and Stenting of Long Intracranial Artery Occlusion. Case Reports in Medicine. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-448706
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-448706