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The Presence of a Right-to-Left Shunt Is Associated With Dramatic Improvement After Thrombolytic Therapy in Patients With Acute Ischemic Stroke
Author(s) -
Kazumi Kimura,
Yasuyuki Iguchi,
Kensaku Shibazaki,
Yuka Terasawa,
Junya Aoki,
Noriko Matsumoto
Publication year - 2008
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.521146
Subject(s) - medicine , thrombolysis , stroke (engine) , transcranial doppler , tissue plasminogen activator , thrombus , cardiology , atrial fibrillation , modified rankin scale , fibrinolytic agent , univariate analysis , intracerebral hemorrhage , prospective cohort study , surgery , multivariate analysis , ischemia , ischemic stroke , myocardial infarction , mechanical engineering , subarachnoid hemorrhage , engineering
The efficacy of pharmacological thrombolysis using tissue plasminogen activator depends on the relative fibrin content of the thrombus. We investigated whether patients with stroke with a right-to-left shunt (RLS), whose embolic source was associated with fibrin-rich thrombus formed in the venous system, were more likely to improve dramatically after thrombolytic therapy than those without RLS.

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