Acute Local Fibrinolysis for Embolic Middle Cerebral Artery Occlusion Using Recombinant Tissue Type Plasminogen Activator

  • M. Ezura
  • A. Takahashi
  • T. Yoshimoto
Conference paper


Intraarterial local fibrinolysis using recombinant tissue type plasminogen activator (rt-PA) is an excellent procedure for rapid recanalization of occluded arteries in acute ischemia patients. We investigated regional cerebral blood flow (rCBF) in patients with acute embolic stroke with no low-density area indicated by the initial computed tomographic (CT) scan to establish selection criteria of appropriate candidates for acute fibrinolysis.


Compute Tomographic Finding Hemorrhagic Infarction Recombinant Tissue Type Plasminogen Activator Relative Cerebral Blood Flow Crossed Cerebellar Diaschisis 
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Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • M. Ezura
    • 1
  • A. Takahashi
    • 1
  • T. Yoshimoto
    • 2
  1. 1.Division of Intravascular Neurosurgery, Department of NeurosurgeryKohnan HospitalTaihaku-ku, Sendai, 982Japan
  2. 2.Department of NeurosurgeryTohoku University School of MedicineAoba-ku, Sendai, 980Japan

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