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Results of Urgent Thrombolysis in Pts with Major Stroke and Atherothrombotic Occlusion of Cervical Int Carotid Art AJNR 19:1169-1175, Endo,S.,et al, 1998 See this aricle in Pubmed Article Abstract Recanalization was accomplished in eight patients with intraarterial local thrombolysis;four of these patients had a good clinical outcome.Two factors characteristic of those whose treatment was successful were dramatic improvement of symptoms after partial recanalization achieved within 3 hours of onset and stabilized improvement after subsequent percutaneous transluminal angioplasty or carotid endarterectomy for residual atherosclerotic stenosis at the ICA origin.The results of this study suggest that urgent intraarterial local thrombolysis may be a successful treatment method for some patients in this critical clinical category if the treatment can be accomplished within 3 hours of ictus and followed by either angioplasty or endarterectomy for residual stenosis.

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(click to filter results - removes previous filter) carotid artery carotid artery atherosclerosis carotid artery disease carotid artery occlusion,neck cerebrovascular accident cerebrovascular accident,acute management of cerebrovascular accident,thrombolytic agents in treatment endarterectomy,carotid fibrinolytic agents fibrinolytic agents,intra-arterial local infusion internal carotid artery prognosis recanalization,arterial transluminal angioplasty,carotid artery treatment of neurologic disorder

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