Author/Editor		Bunc, Matjaž; Kocijančič, Igor J; Pregelj, Rado; Dolenc, Vinko V
Title		Multimodal therapy for the treatment of severe ischemic stroke combining endovascular embolectomy and stenting of long intracranial artery occlusion
Type		članek
Source		Case Reports in Medicine
Publication year		2010
Volume		str. 1-5
Language		eng
Abstract		Embolic occlusion of cerebral arteries is a major cause for stroke. Intravenous thrombolysis showed positive results in this condition, however even when strict criteria are used, the risk of hemorrhagic transformation is possible. Microsurgical embolectomy has been described earlier. Purpose. We performed multimodal therapy of cerebral artery occlusion. Case Report. We present a case of a 49-years-old female patient who-according to the National Institute of Health Stroke Scale (NIHSS )- was rated as 19 due to acute occlusion of the horizontal segment of the left middle cerebral artery (MCA). After failed i.v. thrombolysis, only a part of the clot could be evacuated by the endovascular approach - without restoration of blood flow. Normal patency of the left MCA was re-established after stenting. Within 72 hours, the patient had an NIHSS score of 14, with a small haematoma in the left hemisphere. Conclusion. In our case multimodal therapy combining i.v. thrombolysis, mechanical disruption of thrombus, MCA stenting and platelet function antagonists, resulted in successful recanalization of the acutely occluded left MCA.
Descriptors		CEREBRAL ARTERY DISEASES CEREBRAL ISCHEMIA CEREBRAL INFARCTION TOMOGRAPHY, X-RAY COMPUTED EMBOLECTOMY MIDDLE AGE STENTS