[Intraarterial thrombolysis in the treatment of acute XXXX : Technical and clinical results].

@entity1 @entity64 @entity62890 @entity548 @entity772 @entity51 @entity432 @entity731 @entity385
PURPOSE: To evaluate the safety and recanalization efficacy of local IA rt-PA delivery in @entity1 with acute @entity385 . MATERIALS AND METHODS: Fifteen @entity1 with acute @entity385 were treated; of these, 10 were carotid @entity64 , 5 were vertebrobasilar territory @entity64 cases. The neurological status of the @entity1 were graded according to the Glascow @entity772 Scale and National Institutes of @entity64 Scale. All @entity1 underwent a CT examination on admission. In addition, 4 @entity1 had diffusion-weighted and one @entity1 had a perfusion MR examination. @entity1 of carotid territory @entity64 were treated within 6 hours from the @entity64 onset. There was no time limitation for the basilar artery territory. The Rankin Scale (RS) was used as outcome measures. RESULTS: Two of the 10 @entity1 with carotid @entity64 had carotid territory occlusions, 8 had middle cerebral artery main trunk occlusions. Four @entity1 had symptomatic @entity548 ; of these, 3 died within 24 hours. At the third month 4 @entity1 had a good outcome. Of 5 @entity1 with basilar @entity64 , 4 had basilar @entity432 . In one @entity1 , the basilar artery was open but the flow of the contrast material was very slow. Two @entity1 with unsuccessful recanalization due to underlying high grade @entity731 and one @entity1 with successful recanalization died. At the third month, the other @entity1 with succesful recanalization had a poor outcome (RS 4). The @entity1 with slow basilar artery flow developed from RS 5 to @entity62890 and was discharged without any @entity51 . CONCLUSION: In acute @entity385 , local IA thrombolysis is a safe and feasible treatment when the right @entity1 is selected. @entity548 does not exceed that which occurs in the natural history of the disease and with other treatment methods.
