Effect of ultrasound on thrombolysis of middle cerebral artery occlusion

被引:122
作者
Eggers, J
Koch, B
Meyer, K
König, I
Seidel, G
机构
[1] Med Univ Lubeck, Dept Neurol, D-23538 Lubeck, Germany
[2] Med Univ Lubeck, Inst Med Biometry & Stat, D-23538 Lubeck, Germany
关键词
D O I
10.1002/ana.10590
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied the effect of transcranial 2MHz Doppler ultrasound (US) on the recanalization and outcome of stroke patients suffering from acute middle cerebral artery occlusion. All patients underwent intravenous recombinant tissue-type plasminogen activator thrombolysis. Eleven patients were randomly selected for continuous US monitoring (C-US) over 1 hour; 14 patients were selected for the control group. The C-US group showed a higher grade of recanalization after 1 hour but also a higher number of intraparenchymal bleedings. Overall, a favorable functional outcome occurred more frequently in the C-US group (Barthel index, p = 0.037) after 3 months.
引用
收藏
页码:797 / 800
页数:4
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