Published August 2003 | Version v1
Journal article

Local intra-arterial thrombolysis in acute ischemic stroke of the anterior circulation

  • 1. Shanghai Second Military Medical Univ., Shanghai (China). Changhai Hospital, Dept. of Neurology and Neurosurgery

Description

Objective: To evaluate the safety and efficacy of local intra-arterial thrombolysis (LIT) using urokinase in patients with acute ischemic stroke of the anterior circulation. Methods: Fifty-four patients were treated with LIT using urokinase. The locations of occlusion included 3 of internal carotid artery (ICA), 46 of middle cerebral artery (MCA) and 5 of anterior cerebral artery. Results: Outcome was good in 41 patients (75.9%). Recanalization >50% was obtained in 72.2% of patients and <50% recanalization in 27.8% of patients. Cerebral hemorrhage occurred in 11 patients (20.4%). Four patients died (7.4%). Conclusion: LIT using urokinase can improve the recanalization rate and achieve better functional recovery in patients of acute ischemic stroke

Additional details

Publishing Information

Journal Title
Journal of Interventional Radiology
Journal Volume
12
Journal Issue
4
Journal Page Range
p. 246-249
ISSN
1008-794X