Tissue plasminogen activator thrombolysis of a middle cerebral artery embolus in a patient with an arteriovenous malformation
| Autor: | Jafar J. Jafar, Walter S. Tan, Robert M. Crowell |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Intracranial Arteriovenous Malformations Male medicine.medical_specialty medicine.medical_treatment Tissue plasminogen activator Embolus medicine.artery medicine Humans cardiovascular diseases Embolization medicine.diagnostic_test business.industry Arteriovenous malformation Thrombolysis Intracranial Embolism and Thrombosis medicine.disease Recombinant Proteins nervous system diseases Surgery Radiography Embolism Tissue Plasminogen Activator Angiography Middle cerebral artery cardiovascular system Radiology business medicine.drug |
| Zdroj: | Journal of Neurosurgery. 74:808-812 |
| ISSN: | 0022-3085 |
| DOI: | 10.3171/jns.1991.74.5.0808 |
| Popis: | ✓ A patient harboring a cerebral arteriovenous malformation (AVM) underwent angiography in an attempt to embolize the AVM. During catheterization (and prior to embolization) he became hemiplegic and aphasia Angiography revealed a complete middle cerebral artery (MCA) occlusion by an embolus. The patient was treated with recombinant tissue plasminogen activator (t-PA), a thrombolytic agent. Restoration of MCA flow was achieved, and the patient recovered. Immediately after MCA embolus, t-PA infusion may lead to thrombolysis and neurological recovery. The decision-making process as well as the risks associated with the use of t-PA are discussed. |
| Databáze: | OpenAIRE |
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