Japanese Journal of Stroke
Online ISSN : 1883-1923
Print ISSN : 0912-0726
ISSN-L : 0912-0726
Short Reports
Percutaneous transluminal angioplasty for middle cerebral artery acute occlusion in failed intravenous rt-PA
Fumiaki Oka, Hideyuki Ishihara, Mayu Higashi, Yoshihiko Maeda, Hirokazu Sadahiro, Hisaharu Goto, Mizuya Shinoyama, Hirokazu Koizumi, Hisato Nakayama, Shoichi Kato, Michiyasu Suzuki
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Keywords: recombinant tissue plasminogen activator, middle cerebral artery occlusion, percutaneous transluminal angioplasty, acute ischemic stroke
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2012 Volume 34 Issue 2 Pages 104-106

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Abstract
We report the safety and the efficacy of percutaneous transluminal angioplasty (PTA) using a balloon catheter to treat middle cerebral artery occlusion (MCAO) patients who failed to recanalize after IV rt-PA. Sixteen patients received endovascular treatment. Postprocedure, 75% of the treated vessels were revascularized to Thrombolysis In Myocardial Infarction (TIMI) grade 2 to 3. Favorable clinical outcomes (modified Rankin Scale 0 to 2) occurred in 69%. There were no procedural complications. From our results, PTA after failed IV rt-PA in MCAO patients seems to be safe and effective.
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© 2012 The Japan Stroke Society
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