Abstract
Previous studies have shown that about half of the patients treated with local intraarterial fibrinolysis (LIF) after vertebrobasilar occlusion survived without severe deficits [2, 3, 5, 6]. In one series, however, all patients had poor outcomes [4]. There may be subgroups of patients who do not benefit from LIF. We retrospectively analyzed 20 cases to delineate these subgroups. This might lead to more realistic expectations concerning LIF and to improved therapy studies.
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References
Bogousslavsky J, Gates PC, Fox AJ, Barnett HJM (1986) Bilateral occlusion of vertebral artery. Neurology 36:1309–1315
Courtheaux J, Theon J, Derlon JM, Alakchar F, Casasco A (1986) In situ fibrinolysis in supra-aortic main vessels. J Neuroradiology 13:111–124
Hacke W, Zeumer H, Ferbert A, Brückmann H, del Zoppo GJ (1988) Intra-arterial thrombolytic therapy improves outcome in patients with acute vertebrobasilar occlusive disease. Stroke 19:1216–1222
Kollikowski H, Ewert T, Lehman HJ, Scharafinski HW, Schulz M (1986) Intraarterial local fibrinolysis of basilar artery thrombosis in elderly patients. Akt Neurol 13:201–206
Möbius E, Berg-Dammer E, Kühne D, Kunitsch G, Nahser HC (1989) Local intraarterial fibrinolysis in acute basilar occlusion with progressive brainstem damage. Akt Neurol 16:184–190
Zeumer H (1985) Vascular recanalization techniques in interventional neuroradiology. J Neurol 231:287–294
Zeumer H, Freitag H-J, Grzyska U, Neunzig H-P (1989) Local intraarterial fibrinolysis in acute vertebrobasilar occlusion. Neuroradiology 31:336–340
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© 1991 Springer-verlag Berlin Heidelberg
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Pfeiffer, G., Thayssen, G., Arlt, A., Siepmann, G., Zeumer, H., Kunze, K. (1991). Vertebrobasilar Occlusion: Outcome With and Without Local Intraarterial Fibrinolysis. In: Hacke, W., del Zoppo, G.J., Hirschberg, M. (eds) Thrombolytic Therapy in Acute Ischemic Stroke. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76439-4_26
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DOI: https://doi.org/10.1007/978-3-642-76439-4_26
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-53680-2
Online ISBN: 978-3-642-76439-4
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