A case of a carotid endarterectomy for atheromatous pseudo-occlusion of the internal carotid artery immediately after rt-PA therapy: a case report

倫成, 鄭; 龍之介, 浦西; 潤也, 小林; 憲幸, 西; 孝憲, 福田; 一剛, 四宮; 喜代一, 浅田

doi:10.3995/jstroke.33.451

Search citation statements

Order By: Relevance

Paper Sections

Select...

Discussion1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2016

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At 90 minutes the blood level decreases to 10% of Cmax, and at 4 hours it is 1% of Cmax (18,20). We posit that at 10.5 hours the effects of iv rt-PA had worn off sufficiently to render CEA safe in our patient.…”

Section: Discussionmentioning

confidence: 76%

Successful Emergency Carotid Endarterectomy after Thrombolysis with Intravenous Recombinant Tissue-Type Plasminogen Activator

et al. 2016

View full text Add to dashboard Cite

: Acute internal carotid artery (ICA) occlusion may result in severe disability or death. Revascularization by carotid artery stenting after treatment with intravenous (iv) recombinant tissue-type plasminogen activator (rt-PA) has been documented. However, there are few reports on emergency carotid endarterectomy (CEA) within 24 hours after the iv administration of rt-PA. We treated a 58-year-old man with right ICA occlusion with iv rt-PA. Although partial recanalization of the ICA was obtained, severe stenosis at the origin of the ICA persisted and he developed fluctuating neurological deficits. To prevent progressive stroke he underwent CEA 10.5 hours after rt-PA treatment. Thereafter his blood pressure was strictly controlled under sedation. During and after CEA there were no hemorrhagic complications. Our findings suggest that emergency CEA may be an option to address symptomatic severe residual ICA stenosis even after iv rt-PA therapy delivered in the acute stage.

show abstract

Section: Discussionmentioning

confidence: 76%

Successful Emergency Carotid Endarterectomy after Thrombolysis with Intravenous Recombinant Tissue-Type Plasminogen Activator

et al. 2016

View full text Add to dashboard Cite

show abstract

A case of a carotid endarterectomy for atheromatous pseudo-occlusion of the internal carotid artery immediately after rt-PA therapy: a case report

Abstract: A case of a carotid endarterectomy for atheromatous pseudo-occlusion of the internal carotid artery immediately after rt-PA therapy: a case report

Cited by 1 publication

References 10 publications

Successful Emergency Carotid Endarterectomy after Thrombolysis with Intravenous Recombinant Tissue-Type Plasminogen Activator

Successful Emergency Carotid Endarterectomy after Thrombolysis with Intravenous Recombinant Tissue-Type Plasminogen Activator

Contact Info

Product

Resources

About