New Options in the Therapeutic Management of Acute Ischaemic Stroke. Good Results with Combined i.v. and i.a. Lysis and Mechanical Thrombectomy

被引：8

作者：

Venker, C. ^{[1
]}

Stracke, P. ^{[2
]}

Berlit, P. ^{[1
]}

Diehl, R. R. ^{[1
]}

Kurre, W. ^{[2
]}

Sorgenfrei, U. ^{[1
]}

Kraemer, M. ^{[1
]}

Chapot, R. ^{[2
]}

机构：

[1] Alfried Krupp Hosp, Neurol Klin, D-45131 Essen, Germany

[2] Alfried Krupp Hosp, Klin Neuroradiol, D-45131 Essen, Germany

来源：

FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE | 2010年 / 78卷 / 11期

关键词：

stroke; thrombolysis; thrombectomy; recanalisation; Solitaire FR stent; THROMBOLYSIS; EMBOLECTOMY; ALTEPLASE; ARTERY;

D O I：

10.1055/s-0029-1245582

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Standard therapy for acute ischaemic stroke is the intravenous thrombolysis with rtPA. A combined therapy with intravenous bridging and consecutive intraarterial thrombolysis and mechanical thrombectomy is a relatively new option in patients with proximal vessel occlusion. Patients and Methods: 10 Patients with a CTA proven proximal vessel occlusion in the anterior circulation (Ad, carotis bifurcation, MCA) in CTA were treated with a combined therapy with i.v. and i.a. thrombolysis and thrombectomy with a Solitaire FR stent device. Results: All Patients were recanalized, the NIHSS changed from 15.6 to 3.3. 8 out of 10 patients had nearly no symptoms when dismissed. There were no direct therapeutic complications. Conclusion: Combined therapy with i.v. and i.a. thrombolysis and thombectomy with the Solitaire FR stent device is a promising option in patients with acute proximal vessel occlusion in the anterior circulation.

引用

页码：652 / 657

页数：6

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