Treatment of Acute Ischemia Cerebral Infarction with Intra-artery Thrombolysis
Ning Zhi-fang
Abstract
Ning Zhi-fang
Abstract
Objective To evaluate the clinical effects of intra-artery thrombolysis therapy for acute ischemic cerebral infarction (AICI). Methods 7 patients of AICI in 8 hours were treated with intra-arterial thrombolysis using urokinase of median dose 5 million IU. They were assessed by neurologists using National Institutes of Health Stroke Scale (NIHSS) score at admittance to the hospital. Clinical outcome was assessed after 3 months and classified as good for modified rankin scale (MRS) scores of 0 to 3 and poor for 4+0.6. Results 4 patients received complete recanalization of this group and 3 patient partial recanalization as follow-up. 6 cases had good outcome and 1 poor. Conclusion Intra-artery thrombolysis therapy for AICI might be safe and effective. It could increase as higher clinical treatment effects.
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Objective To evaluate the clinical effects of intra-artery thrombolysis therapy for acute ischemic cerebral infarction (AICI). Methods 7 patients of AICI in 8 hours were treated with intra-arterial thrombolysis using urokinase of median dose 5 million IU. They were assessed by neurologists using National Institutes of Health Stroke Scale (NIHSS) score at admittance to the hospital. Clinical outcome was assessed after 3 months and classified as good for modified rankin scale (MRS) scores of 0 to 3 and poor for 4+0.6. Results 4 patients received complete recanalization of this group and 3 patient partial recanalization as follow-up. 6 cases had good outcome and 1 poor. Conclusion Intra-artery thrombolysis therapy for AICI might be safe and effective. It could increase as higher clinical treatment effects.
Key concepts: Medicine, Thrombolysis, Urokinase, Modified Rankin Scale, Ischemia, Cerebral infarction, Artery, Infarction