Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?

被引：4

作者：

Gonzalez Delgado, Montserrat ^{[1
]}

Garcia, Raquel ^{[1
]}

Murias, Eduardo ^{[2
]}

机构：

[1] Hosp Univ Cent Asturias, Serv Neurol, Oviedo 33006, Spain

[2] Cent Univ Hosp Asturias, Serv Radiol, Oviedo 33006, Spain

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2012年 / 21卷 / 01期

关键词：

Cervical artery dissection; intravenous thrombolysis; internal carotid artery dissection; STROKE;

D O I：

10.1016/j.jstrokecerebrovasdis.2010.05.003

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Cervical artery dissection no longer represents an obstacle for performing intravenous (IV) thrombolysis. This treatment can be used safely for patients with cervical artery dissection, but tandem lesions may be related to poor outcome. We report a patient with an occlusive internal carotid artery (ICA) dissection and middle cerebral artery (MCA) embolus, with collateral circulation through the ophthalmic artery and communicating anterior artery. He underwent IV thrombolysis, with subsequent MCA recanalization and good outcome. In cases of tandem lesions in cervical artery dissection with MCA occlusion, IV thrombolysis is indicated despite the presence of ICA occlusion. Due to the presence of collateral circulation and the composition of the embolus, recanalization of MCA might be possible.

引用

页码：87 / 88

页数：2

共 5 条

[1]

Arnold M, 2008, UNCOMMON CAUSES OF STROKE, 2ND EDITION, P433, DOI 10.1017/CBO9780511544897.061

[2] Intravenous Thrombolysis in Stroke Attributable to Cervical Artery Dissection [J].

Engelter, Stefan T. ;

Rutgers, Matthieu P. ;

Hatz, Florian ;

Georgiadis, Dimitrios ;

Fluri, Felix ;

Sekoranja, Lucka ;

Schwegler, Guido ;

Mueller, Felix ;

Weder, Bruno ;

Sarikaya, Hakan ;

Luethy, Regina ;

Arnold, Marcel ;

Nedeltchev, Krassen ;

Reichhart, Marc ;

Mattle, Heinrich P. ;

Tettenborn, Barbara ;

Hungerbuehler, Hansjoerg J. ;

Sztajzel, Roman ;

Baumgartner, Ralf W. ;

Michel, Patrik ;

Lyrer, Philippe A. .

STROKE, 2009, 40 (12) :3772-3776

[3] IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection [J].

Georgiadis, D ;

Lanczik, O ;

Schwab, S ;

Engelter, S ;

Sztajzel, R ;

Arnold, M ;

Siebler, M ;

Schwarz, S ;

Lyrer, P ;

Baumgartner, RW .

NEUROLOGY, 2005, 64 (09) :1612-1614

[4] TISSUE-PLASMINOGEN ACTIVATOR FOR ACUTE ISCHEMIC STROKE [J].

MARLER, JR ;

BROTT, T ;

BRODERICK, J ;

KOTHARI, R ;

ODONOGHUE, M ;

BARSAN, W ;

TOMSICK, T ;

SPILKER, J ;

MILLER, R ;

SAUERBECK, L ;

JARRELL, J ;

KELLY, J ;

PERKINS, T ;

MCDONALD, T ;

RORICK, M ;

HICKEY, C ;

ARMITAGE, J ;

PERRY, C ;

THALINGER, K ;

RHUDE, R ;

SCHILL, J ;

BECKER, PS ;

HEATH, RS ;

ADAMS, D ;

REED, R ;

KLEI, M ;

HUGHES, S ;

ANTHONY, J ;

BAUDENDISTEL, D ;

ZADICOFF, C ;

RYMER, M ;

BETTINGER, I ;

LAUBINGER, P ;

SCHMERLER, M ;

MEIROSE, G ;

LYDEN, P ;

RAPP, K ;

BABCOCK, T ;

DAUM, P ;

PERSONA, D ;

BRODY, M ;

JACKSON, C ;

LEWIS, S ;

LISS, J ;

MAHDAVI, Z ;

ROTHROCK, J ;

TOM, T ;

ZWEIFLER, R ;

DUNFORD, J ;

ZIVIN, J .

NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (24) :1581-1587

[5] Tandem internal carotid artery/middle cerebral artery occlusion -: An independent predictor of poor outcome after systemic thrombolysis [J].

Rubiera, Marta ;

Ribo, Marc ;

Delgado-Mederos, Raquel ;

Santamarina, Esteban ;

Delgado, Pilar ;

Montaner, Joan ;

Alvarez-Sabin, Jose ;

Molina, Carlos A. .

STROKE, 2006, 37 (09) :2301-2305

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