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Intra-Arterial Cerebral Thrombolysis for Acutre Ischemic Stroke in a Community Hospital AJNR 20:1682-1687,1580, Edwards,M.T.,et al, 1999 See this aricle in Pubmed Article Abstract The average score on the National Institutes of Health Stroke Scale was 22.2 at the onset of treatment and 12.5 after therapy with 91% of patients showing neurologic improvement. Complete (TIMI 3) recanalization occurred in 73% of cases and partial recanalization (TIMI 2) in 18%. At the 90-day follow-up evaluation, 56% of patients had good outcomes (modified Rankin score, 0 to 1). One intracranial hemorrhage occurred. Intro-arterial thrombolysis can be performed in a community hospit al by radiologists with interventional and neuroradiologic skills given appropriate institutional preparation.

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