Intro-arterial thrombolysis of occluded middle cerebral artery by use of collateral pathways in patients with tandem cervical carotid artery/middle cerebral artery occlusion

Ozdemir O., Bussiere M., Leung A., Gulka I., Lee D., Chan R., ...More

AMERICAN JOURNAL OF NEURORADIOLOGY, vol.29, no.8, pp.1596-1600, 2008 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 8
  • Publication Date: 2008
  • Doi Number: 10.3174/ajnr.a1163
  • Journal Name: AMERICAN JOURNAL OF NEURORADIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1596-1600
  • Eskisehir Osmangazi University Affiliated: No

Abstract

BACKGROUND AND PURPOSE: Cervical internal carotid artery (ICA) occlusion with middle cerebral artery (MCA) embolic occlusion is associated with a low rate of recanalization and poor outcome after intravenous thrombolysis Prompt revascularization is required to prevent disabling stroke. We report our experience on acute ischemic stroke patients with tandem ICA or MCA occlusions treated with microcathether navigation and intro-arterial thrombolysis by use of collateral pathways including the posterior or anterior communicating arteries, or both pathways.