Rescue therapy with local intra-arterial urokinase after poor clinical response with intravenous recombinant tissue plasminogen activator in acute ischaemic stroke
Date
2011
Authors
Lee, L.
Chryssidis, S.
Jannes, J.
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Journal article
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Internal Medicine Journal, 2011; 41(7):570-573
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L. H. Lee, S. Chryssidis and J. Jannes
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Abstract
We report a case of combined intravenous and intra-arterial thrombolysis in a patient presenting with acute ischaemic stroke. Progression to intra-arterial thrombolysis in patients who fail to show clinical improvement within 6 h of symptom onset might be a safe treatment option at centres with access to stroke specialist and endovascular services. The purpose of this report is to demonstrate the efficacy and potential benefits of this rescue therapy.
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© 2011 The Authors. Internal Medicine Journal © 2011 Royal Australasian College of Physicians