Abstract
In seven carotid-related acute hemispheric strokes with simultaneous embolic occlusion of the middle cerebral artery thrombolysis with urocinase or rt-PA was performed preoperatively (n = 3) or intraoperatively (n = 4) after carotid endarterectomy. Four patients recovered totally, three patients showed a remarkable improvement and were able to walk postoperatively. The combination of carotid endarterectomy and thrombolysis (simultaneous or staged) is a new option in the emergency treatment of an acute carotid-related stroke and should be evaluated in prospective interdisciplinary studies.
Translated title of the contribution | Carotid TEA and perioperative thrombolysis: a new concept in therapy of acute ischemic stroke |
---|---|
Original language | German |
Pages (from-to) | 889-893 |
Number of pages | 5 |
Journal | Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress |
Volume | 113 |
State | Published - 1996 |
Externally published | Yes |