Premium
Intra‐arterial thrombolysis in a patient presenting with an ischemic stroke due to spontaneous internal carotid artery dissection
Author(s) -
Sampognaro Gregory,
Turgut Tansel,
Conners John J.,
White Christopher,
Collins Tyrone,
Ramee Stephen R.
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199911)48:3<312::aid-ccd18>3.0.co;2-2
Subject(s) - medicine , thrombolysis , thrombus , middle cerebral artery , internal carotid artery , stroke (engine) , angiography , warfarin , cerebral angiography , cardiology , aspirin , dissection (medical) , radiology , surgery , ischemia , atrial fibrillation , myocardial infarction , mechanical engineering , engineering
We describe a case of a 38‐year‐old male who presented with acute onset of right‐sided hemiplegia and aphasia, who was transferred for emergent percutaneous intervention. Angiography revealed a dissection with total occlusion of the left internal carotid artery (ICA) with propagation of thrombus in the distribution of the middle cerebral artery (MCA). Therapy was directed at the MCA and not the ICA. Intra‐arterial thrombolysis was performed on the M1 and M2 branches of the left middle cerebral artery, resulting in almost complete resolution of symptoms during the angiography procedure. Heparin was continued postprocedure, and the patient was discharged home on warfarin and aspirin with minimal residual symptoms. Cathet. Cardiovasc. Intervent. 48:312–315, 1999. © 1999 Wiley‐Liss, Inc.