Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?
Cervical artery dissection no longer represents an obstacle for performing intravenous (IV) thrombolysis. This treatment can be used safely for patients with cervical artery dissection, but tandem lesions may be related to poor outcome. We report a patient with an occlusive internal carotid artery (...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2012, Vol.21 (1), p.87-88 |
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| container_title | Journal of stroke and cerebrovascular diseases |
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| creator | Delgado, Montserrat González, MD, PhD García, Raquel, MD Murias, Eduardo, MD |
| description | Cervical artery dissection no longer represents an obstacle for performing intravenous (IV) thrombolysis. This treatment can be used safely for patients with cervical artery dissection, but tandem lesions may be related to poor outcome. We report a patient with an occlusive internal carotid artery (ICA) dissection and middle cerebral artery (MCA) embolus, with collateral circulation through the ophthalmic artery and communicating anterior artery. He underwent IV thrombolysis, with subsequent MCA recanalization and good outcome. In cases of tandem lesions in cervical artery dissection with MCA occlusion, IV thrombolysis is indicated despite the presence of ICA occlusion. Due to the presence of collateral circulation and the composition of the embolus, recanalization of MCA might be possible. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2010.05.003 |
| format | Article |
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This treatment can be used safely for patients with cervical artery dissection, but tandem lesions may be related to poor outcome. We report a patient with an occlusive internal carotid artery (ICA) dissection and middle cerebral artery (MCA) embolus, with collateral circulation through the ophthalmic artery and communicating anterior artery. He underwent IV thrombolysis, with subsequent MCA recanalization and good outcome. In cases of tandem lesions in cervical artery dissection with MCA occlusion, IV thrombolysis is indicated despite the presence of ICA occlusion. 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This treatment can be used safely for patients with cervical artery dissection, but tandem lesions may be related to poor outcome. We report a patient with an occlusive internal carotid artery (ICA) dissection and middle cerebral artery (MCA) embolus, with collateral circulation through the ophthalmic artery and communicating anterior artery. He underwent IV thrombolysis, with subsequent MCA recanalization and good outcome. In cases of tandem lesions in cervical artery dissection with MCA occlusion, IV thrombolysis is indicated despite the presence of ICA occlusion. Due to the presence of collateral circulation and the composition of the embolus, recanalization of MCA might be possible.</description><subject>Adult</subject><subject>Cardiovascular</subject><subject>Carotid Artery, Internal, Dissection - complications</subject><subject>Carotid Artery, Internal, Dissection - therapy</subject><subject>Cervical artery dissection</subject><subject>Fibrinolytic Agents - administration & dosage</subject><subject>Humans</subject><subject>Infarction, Middle Cerebral Artery - drug therapy</subject><subject>Infarction, Middle Cerebral Artery - etiology</subject><subject>Injections, Intravenous</subject><subject>internal carotid artery dissection</subject><subject>Intracranial Embolism - drug therapy</subject><subject>Intracranial Embolism - etiology</subject><subject>intravenous thrombolysis</subject><subject>Male</subject><subject>Neurology</subject><subject>Treatment Outcome</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkU1v1DAQhiMEoqXwF5BvSEhZxnbsJhdQu3yttFIPbOFoOfZEdZrExZOstP8er7ZwQFw4eWQ9ekfzvEXxlsOKA9fv-lVPc4r36DBhm-Lekg-0EpABUCsA-aQ450qKslacP80zKFFKUJdnxQuiHoBzVavnxZmATGgJ58X3DbHNNCe7xykuxHZ3KY5tHA4UiN0SdsvAwsTWNsU5eHaVZkwH9jEQoZtDnNiPMN-xnZ08juzGuWGh_PvhZfGsswPhq8f3orj9_Gm3_lpub75s1lfb0lWqnkuLYJuuclJb0YFoRKutvpRdK_NNla7bijvd-bryXV0LLUXrwbe17KSwykIjL4o3p9yHFH8uSLMZAzkcBjthPsc0XIGsNeeZvD6RLkWihJ15SGG06WA4mKNe05t_6TVHvQaUyXpzyOvHdUs7ov8T8dtnBrYnAPPR-4DJkAs4OfQhZWHGx_B_-97_FeeGMAVnh3s8IPVxSVPWa7ghYcB8OxZ-7JtD7hoaLX8Bg7Kvew</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Delgado, Montserrat González, MD, PhD</creator><creator>García, Raquel, MD</creator><creator>Murias, Eduardo, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?</title><author>Delgado, Montserrat González, MD, PhD ; García, Raquel, MD ; Murias, Eduardo, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-ae0a9f4c36a2f0292b6a673fb3010468b41c6fd84df882632bd0db83f32a5a093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Cardiovascular</topic><topic>Carotid Artery, Internal, Dissection - complications</topic><topic>Carotid Artery, Internal, Dissection - therapy</topic><topic>Cervical artery dissection</topic><topic>Fibrinolytic Agents - administration & dosage</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - drug therapy</topic><topic>Infarction, Middle Cerebral Artery - etiology</topic><topic>Injections, Intravenous</topic><topic>internal carotid artery dissection</topic><topic>Intracranial Embolism - drug therapy</topic><topic>Intracranial Embolism - etiology</topic><topic>intravenous thrombolysis</topic><topic>Male</topic><topic>Neurology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delgado, Montserrat González, MD, PhD</creatorcontrib><creatorcontrib>García, Raquel, MD</creatorcontrib><creatorcontrib>Murias, Eduardo, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delgado, Montserrat González, MD, PhD</au><au>García, Raquel, MD</au><au>Murias, Eduardo, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2012</date><risdate>2012</risdate><volume>21</volume><issue>1</issue><spage>87</spage><epage>88</epage><pages>87-88</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>Cervical artery dissection no longer represents an obstacle for performing intravenous (IV) thrombolysis. 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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Cardiovascular Carotid Artery, Internal, Dissection - complications Carotid Artery, Internal, Dissection - therapy Cervical artery dissection Fibrinolytic Agents - administration & dosage Humans Infarction, Middle Cerebral Artery - drug therapy Infarction, Middle Cerebral Artery - etiology Injections, Intravenous internal carotid artery dissection Intracranial Embolism - drug therapy Intracranial Embolism - etiology intravenous thrombolysis Male Neurology Treatment Outcome |
| title | Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion? |
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