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Thrombectomy with Soutenir for acute ischemic stroke patients unresponsive to intravenous recombinant tissue plasminogen activator
- Source :
- Journal of Neuroendovascular Therapy. 3:10-16
- Publication Year :
- 2009
- Publisher :
- The Japanese Society for Neuroendovascular Therapy, 2009.
-
Abstract
- ●Abstract● Purpose: We report two cases of acute ischemic stroke patients treated by additional thrombectomy using a basket-shaped microsnare (Soutenir) after infusion of intravenous recombinant tissue plasminogen activator (rtPA). Successful recanalization and good prognosis were achieved in both cases. Case 1: A 67-year-old man presented with left hemiplegia and agnosia. After completion of the intravenous rtPA infusion, he continued to show severe neurological deficit. Angiography revealed occlusion of the posterior trunk and a branch of the anterior trunk of the right middle cerebral artery (MCA). The two occluded arteries were successfully recanalized by removing the clot with Soutenir, resulting in neurological improvement. Case 2: A 49-year-old man presented with right hemiplegia and aphasia. After completion of the intravenous rtPA infusion, he continued to show severe neurological deficit. Angiography revealed occlusion of the left MCA at the proximal M1 segment. The occluded artery was successfully recanalized by removing the clot in the manner described above, resulting in neurological improvement. Conclusion: To our knowledge, this is the first report describing patients treated by additional thrombectomy using a Soutenir after failed intravenous infusion of rtPA. This procedure is a therapeutic option for selected acute ischemic stroke patients who are unresponsive to intravenous rtPA.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Right hemiplegia
Trunk
Surgery
medicine.anatomical_structure
Agnosia
Anesthesia
Angiography
Occlusion
medicine
Neurology (clinical)
medicine.symptom
Recombinant tissue plasminogen activator
Cardiology and Cardiovascular Medicine
business
Acute ischemic stroke
Artery
Subjects
Details
- ISSN :
- 21862494 and 18824072
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Neuroendovascular Therapy
- Accession number :
- edsair.doi...........838c2b1a584616a15c177d578b866d8a