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Fortschr Neurol Psychiatr. 2010 Nov;78(11):652-7. doi: 10.1055/s-0029-1245582. Epub 2010 Nov 10.

[New options in the therapeutic management of acute ischaemic stroke. Good results with combined i. v. and i. a. lysis and mechanical thrombectomy].

[Article in German]

Author information

1
Klinik für Neurologie, Alfried-Krupp Krankenhaus, Essen. conrad.venker@gmx.de

Abstract

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 (ACI, 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.

PMID:
21069630
DOI:
10.1055/s-0029-1245582
[Indexed for MEDLINE]
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