Intra-arterial tissue plasminogen activator and abciximab in patients with acute basilar artery occlusion

被引:2
|
作者
Chiti, A. [1 ]
Gialdini, G. [1 ]
Terni, E. [1 ]
Giannini, N. [1 ]
Gennaro, M. [1 ]
Lazzarotti, G. A. [2 ]
Puglioli, M. [2 ]
Orlandi, G. [1 ]
Bonuccelli, U. [1 ]
机构
[1] Univ Pisa IT, Dept Clin & Expt Med, Div Neurol, Pisa, Italy
[2] Azienda Osped Univ Pisana Pisa IT, Unit Neuroradiol, Pisa, Italy
关键词
Vertebro-basilar stroke; Basilar occlusion; Intra-arterial thrombolysis; Cerebral angiography; Recanalisation; Vertebral dissection; THROMBOLYSIS; OUTCOMES; STROKE;
D O I
10.1007/s10072-013-1465-y
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Acute basilar artery occlusion has a poor prognosis and best treatment has not been assessed yet; as for intra-arterial treatment, no "gold standard" exists. We evaluated a series of ten patients treated with intra-arterial combination of recombinant tissue plasminogen activator (rtPA) and abciximab. Partial/complete recanalisation was achieved in all patients and good outcome (1 month Modified Rankin Scale 0-2) in eight cases, while one patient had symptomatic intracranial haemorrhage and died. Such outcome appears significantly better if compared with the results of Basilar Artery International Cooperation Study, suggesting that intra-arterial administration of rtPA and abciximab may be a promising option in patients with acute basilar artery occlusion undergoing endovascular treatment.
引用
收藏
页码:1871 / 1873
页数:3
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