Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases
Autor(a) principal: | |
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Data de Publicação: | 2001 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600018 |
Resumo: | Extra-cranial arterial dissection accounts for 10% of strokes in young people. Information on safety of thrombolytic administration in this group is limited. The literature, however, does not favor use of thrombolytics for myocardial ischemia when peripheral arterial dissection coexists. Based on the clinical and radiological features, two patients who presented with acute stroke secondary to arterial dissection were considered for thrombolysis. One of them received intra-venous recombinant tissue plasminogen activator (rtPA), and the other patient received intra-arterial rtPA. There were no post thrombolysis complications. This report supports feasibility of administering thrombolytics in acute ischemic strokes resulting from extra-cranial arterial dissection. Future larger studies are necessary to determine the efficacy, safety and long-term outcome in this patient population. |
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Arquivos de neuro-psiquiatria (Online) |
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Thrombolytic therapy for acute extra-cranial artery dissection: report of two casesthrombolysisstrokedissectioninternal carotid arteryExtra-cranial arterial dissection accounts for 10% of strokes in young people. Information on safety of thrombolytic administration in this group is limited. The literature, however, does not favor use of thrombolytics for myocardial ischemia when peripheral arterial dissection coexists. Based on the clinical and radiological features, two patients who presented with acute stroke secondary to arterial dissection were considered for thrombolysis. One of them received intra-venous recombinant tissue plasminogen activator (rtPA), and the other patient received intra-arterial rtPA. There were no post thrombolysis complications. This report supports feasibility of administering thrombolytics in acute ischemic strokes resulting from extra-cranial arterial dissection. Future larger studies are necessary to determine the efficacy, safety and long-term outcome in this patient population.Academia Brasileira de Neurologia - ABNEURO2001-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600018Arquivos de Neuro-Psiquiatria v.59 n.4 2001reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2001000600018info:eu-repo/semantics/openAccessZaidat,Osama O.Fernandes Filho,Jose Americo M.Singh,GurwantSuarez,Jose I.eng2001-11-28T00:00:00Zoai:scielo:S0004-282X2001000600018Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2001-11-28T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
title |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
spellingShingle |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases Zaidat,Osama O. thrombolysis stroke dissection internal carotid artery |
title_short |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
title_full |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
title_fullStr |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
title_full_unstemmed |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
title_sort |
Thrombolytic therapy for acute extra-cranial artery dissection: report of two cases |
author |
Zaidat,Osama O. |
author_facet |
Zaidat,Osama O. Fernandes Filho,Jose Americo M. Singh,Gurwant Suarez,Jose I. |
author_role |
author |
author2 |
Fernandes Filho,Jose Americo M. Singh,Gurwant Suarez,Jose I. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Zaidat,Osama O. Fernandes Filho,Jose Americo M. Singh,Gurwant Suarez,Jose I. |
dc.subject.por.fl_str_mv |
thrombolysis stroke dissection internal carotid artery |
topic |
thrombolysis stroke dissection internal carotid artery |
description |
Extra-cranial arterial dissection accounts for 10% of strokes in young people. Information on safety of thrombolytic administration in this group is limited. The literature, however, does not favor use of thrombolytics for myocardial ischemia when peripheral arterial dissection coexists. Based on the clinical and radiological features, two patients who presented with acute stroke secondary to arterial dissection were considered for thrombolysis. One of them received intra-venous recombinant tissue plasminogen activator (rtPA), and the other patient received intra-arterial rtPA. There were no post thrombolysis complications. This report supports feasibility of administering thrombolytics in acute ischemic strokes resulting from extra-cranial arterial dissection. Future larger studies are necessary to determine the efficacy, safety and long-term outcome in this patient population. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2001000600018 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.59 n.4 2001 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212753882480640 |