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Intra-Arterial Thrombolysis in Acute Ischaemic Stroke:Experience with a Superselective Catheter Embedded in the Clot
JNNP 60:667-670, Castro,L.,et al, 1996
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Article Abstract
Complete recanalisation in six MCA stem and in two BA occurred,and partial recanalisation in two MCA stem and one BA.There was no recanalisation in one BA.A clinically silent haemorrhage occurred in two patients,and a parenchymal haematoma in one patient,all in MCA occlusions.At four months five patients achieved self sufficiency(four with MCA and one with BA occlusion).Six patients were dependent(three totally),and one died.The strict criteria of eligibility allowing the enrollment of very few patients and the procedure itself,requiring particular neuroradiological expertise,make this procedure not routine.Nevertheless,the approach can be considered a possible option for patients with acute ischaemic stroke.
 
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