Intra-arterial Thrombolysis of Acute Cerebral Vascular Occlusion During Endovascular Treatment of Adjacent Aneurysms at the Internal Carotid Artery

摘要

Ischemic stroke is an uncommon but serious complication of neuroendo-vascular and cardiac catheter intervention.1-2 Although the significant clinical benefit of IAT has been shown in patients with acute non-iatrogenic Ml or M2 segment occlusion of the middle cerebral artery,3 the data concerning the safety and effectiveness of IAT in patients with acute stroke as a complication of arterial catheter interventions were still limited.1-2 Arnold et al2 analyzed the clinical outcomes in 12 patients who underwent IAT for peri-procedural strokes, and 9 patients (75%) had a favorable outcome.