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Clinical Study of Therapeutic Time Window of Local Fibrinolysis for Acute MiddleCerebral Artery Occlusion Tatsumi Yamanome 1 , Kenji Yoshida 1 , Akira Ogawa 2 1Iwate Prefectural Ofunato Hospital, Department of Neurosurgery 2Iwate Medical University, Department of Neurosurgery Keyword: middle cerebral artery , local intraarterial fibrinolysis , tissue plasminogen activator , therapeutic time window pp.779-784
Published Date 1999/9/1
DOI https://doi.org/10.11477/mf.1406901487
  • Abstract
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We evaluated the efficacy of local intra-arterial fibri-nolysis (LIF) used in tissue plasminogen activator (t-PA) and its indication for acute middle cerebral ar-tery (MCA) occlusion on angiographic degree of lep-tomeningeal collateral flow in a series of 26 patients (mean age : 67.2 years old).

The occlusion types were classified into three types : (1) M 1 proximal occlusion (N=8) involved the lenticulostriate arteries (LSA), (2) M 1 distal occlusion (N=6) without involvement of the LSA to M 2 bifur-cation, (3) M2-3 occlusion (N=12).


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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