Interventional Neurovascular Techniques in Acute Thrombolytic Therapy for Stroke

  • R. T. Higashida
  • V. V. Halbach
  • F. Y. Tsai
  • C. F. Dowd
  • G. B. Hieshima
Conference paper


Interventional neurovascular techniques for the treatment of cerebrovascular disorders and stroke have evolved rapidly during the past decade. Development of soft, atraumatic microcatheters and steerable microguidewires have now allowed the interventional neuroradiologist relatively safe access to all the larger intracranial vessels around the skull base and circle of Willis. Newer nonionic contrast media used to visualize the cerebral vessels have decreased adverse reactions. Digital subtraction angiography has allowed rapid interpretation and immediate visualization of the blood vessels during infusion therapy of thrombolytic agents. Magnetic resonance imaging and magnetic resonance angiography now allow noninvasive screening and follow-up of patients with cerebrovascular occlusive disease.


Magnetic Resonance Angiography Digital Subtraction Angiography Thrombolytic Agent Cerebral Angiography Intermittent Infusion 
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Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • R. T. Higashida
    • 1
  • V. V. Halbach
    • 1
  • F. Y. Tsai
    • 2
  • C. F. Dowd
    • 1
  • G. B. Hieshima
    • 1
  1. 1.Interventional Neurovascular Radiology Division, Departments of Radiology and Neurological SurgeryUniversity of California, San Francisco Medical CenterSan FranciscoUSA
  2. 2.Truman Medical CenterKansas City School of Medicine, University of MissouriKansasUSA

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