Transcranial Doppler sonography monitoring of local intra-arterial thrombolysis in acute occlusion of the middle cerebral artery.

Abstract:

BACKGROUND AND PURPOSE:The aim of this study is to report on the use of transcranial Doppler ultrasonography as a noninvasive diagnostic monitoring tool during local intra-arterial thrombolysis in a patient with acute embolic occlusion of the middle cerebral artery. CASE DESCRIPTION:We describe a 41-year-old woman with mitral valve stenosis suffering from embolism of the middle cerebral artery. Local thrombolysis was performed with tissue plasminogen activator at a dosage of 0.05 mg/kg/hr. Progress of the thrombolysis was monitored by transcranial Doppler. The steps of recanalization could be ascertained by transcranial ultrasound showing a hemodynamically relevant residual stenosis after the first 120 minutes and complete patency of the M1 segment of the middle cerebral artery 180 minutes later. One branch of the middle cerebral artery still showed a filling defect. CONCLUSIONS:Our report demonstrates the potential usefulness of transcranial Doppler monitoring during thrombolysis of a proximal occlusion of the middle cerebral artery for guiding the treatment by assessing the reperfusion of the obstructed artery.

journal_name

Stroke

journal_title

Stroke

authors

Karnik R,Stelzer P,Slany J

doi

10.1161/01.str.23.2.284

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

284-7

issue

2

eissn

0039-2499

issn

1524-4628

journal_volume

23

pub_type

杂志文章

相关文献

STROKE文献大全
  • Current status of neuroprotection for cerebral ischemia: synoptic overview.

    abstract::Abundant preclinical studies have identified multiple mechanisms of ischemic brain injury and have provided proof of principle that strategies designed to counter these mechanisms can protect the ischemic brain. This review article emphasizes the translation of these strategies from the laboratory to clinical trials. ...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/STROKEAHA.108.528877

    authors: Ginsberg MD

    更新日期:2009-03-01 00:00:00

  • Assessment of scales of disability and handicap for stroke patients.

    abstract:BACKGROUND AND PURPOSE:The purpose of the study is to compare the reliability of the Barthel activities of daily living score, which assesses disability, with the Rankin scale, which assesses handicap, and to determine their mutual agreement. METHODS:Fifty patients with stroke of varying severity were identified by a ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.22.10.1242

    authors: Wolfe CD,Taub NA,Woodrow EJ,Burney PG

    更新日期:1991-10-01 00:00:00

  • Platelet accumulation in regions of low blood flow during the postischemic period.

    abstract::Various studies indicate that after a latent interval, a progressive focal deterioration of microvascular perfusion can develop in zones of acute damage to the central nervous system (CNS). In order to obtain reliable information concerning the possibility of platelet participation in this phenomenon, platelet deposit...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.16.2.224

    authors: Obrenovitch TP,Hallenbeck JM

    更新日期:1985-03-01 00:00:00

  • Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage: the Fisher scale revisited.

    abstract:BACKGROUND AND PURPOSE:Thick cisternal clot on CT is a well-recognized risk factor for delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (SAH). Whether intraventricular hemorrhage (IVH) or intracerebral hemorrhage (ICH) predisposes to DCI is unclear. The Fisher CT grading scale identifies thick SAH but does...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/hs0901.095677

    authors: Claassen J,Bernardini GL,Kreiter K,Bates J,Du YE,Copeland D,Connolly ES,Mayer SA

    更新日期:2001-09-01 00:00:00

  • Invasive Monitoring of Intracranial Pressure After Decompressive Craniectomy in Malignant Stroke.

    abstract:BACKGROUND AND PURPOSE:The role of decompressive hemicraniectomy (DC) in malignant cerebral infarction (MCI) has clearly been established, but little is known about the course of intracranial pressure (ICP) in patients undergoing this surgical measure. In this study, we investigated the role of invasive ICP monitoring ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.120.032390

    authors: Hernández-Durán S,Meinen L,Rohde V,von der Brelie C

    更新日期:2021-01-01 00:00:00

  • Aggressive mechanical clot disruption: a safe adjunct to thrombolytic therapy in acute stroke?

    abstract:BACKGROUND AND PURPOSE:This study evaluated the safety and efficacy of aggressive mechanical clot disruption (AMCD) in acute stroke patients with persisting middle cerebral artery (MCA) or internal carotid artery (ICA) occlusion after thrombolytic therapy. METHODS:Retrospective case series were used from a prospective...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000152331.93770.18

    authors: Noser EA,Shaltoni HM,Hall CE,Alexandrov AV,Garami Z,Cacayorin ED,Song JK,Grotta JC,Campbell MS 3rd

    更新日期:2005-02-01 00:00:00

  • Dichotomous effects of chronic intermittent hypoxia on focal cerebral ischemic injury.

    abstract:BACKGROUND AND PURPOSE:Obstructive sleep apnea, a condition associated with chronic intermittent hypoxia (CIH), carries an increased risk of stroke. However, CIH has been reported to either increase or decrease brain injury in models of focal cerebral ischemia. The factors determining the differential effects of CIH on...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.004816

    authors: Jackman KA,Zhou P,Faraco G,Peixoto PM,Coleman C,Voss HU,Pickel V,Manfredi G,Iadecola C

    更新日期:2014-05-01 00:00:00

  • Asymptomatic coronary artery disease in patients with stroke. Prevalence, prognosis, diagnosis, and treatment.

    abstract::The frequency of angiographically defined asymptomatic CAD in patients with carotid disease is 40%. Although the prognosis of patients with asymptomatic 1-vessel or 2-vessel CAD is good (annual cardiac mortality rate less than 2%), the prognosis of asymptomatic 3-vessel disease or left main CAD is substantially less f...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.23.3.433

    authors: Chimowitz MI,Mancini GB

    更新日期:1992-03-01 00:00:00

  • The incidence of cerebral venous thrombosis: a cross-sectional study.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the incidence of adult cerebral venous thrombosis. METHODS:A retrospective cross-sectional study was conducted among all 19 hospitals located in 2 Dutch provinces serving 3.1 million people. Adult cerebral venous thrombosis cases diagnosed between Janua...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.671453

    authors: Coutinho JM,Zuurbier SM,Aramideh M,Stam J

    更新日期:2012-12-01 00:00:00

  • A phase II multicentered, single-blind, randomized, controlled trial of the stroke self-management program.

    abstract:BACKGROUND AND PURPOSE:The benefits of chronic disease self-management programs for stroke survivors are uncertain because individuals with severe impairments have been excluded from previous research. We undertook a phase II randomized controlled trial to determine whether a self-management program designed for surviv...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.110.601997

    authors: Cadilhac DA,Hoffmann S,Kilkenny M,Lindley R,Lalor E,Osborne RH,Batterbsy M

    更新日期:2011-06-01 00:00:00

  • Multicenter validation study of real-time ultrasonography, arteriography, and pathology: pathologic evaluation of carotid endarterectomy specimens.

    abstract::The morphologic description and measurements of endarterectomy specimens are usually believed to be accurate and are used as the gold standard against which the findings of diagnostic procedures are judged. Pathology data on 289 endarterectomy specimens from five participating centers and the corresponding angiography...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.3.289

    authors: Schenk EA,Bond MG,Aretz TH,Angelo JN,Choi HY,Rynalski T,Gustafson NF,Berson AS,Ricotta JJ,Goodison MW

    更新日期:1988-03-01 00:00:00

  • Recovery of upper limb function after cerebellar stroke: lesion symptom mapping and arm kinematics.

    abstract:BACKGROUND AND PURPOSE:Loss of movement coordination is the main postacute symptom after cerebellar infarction. Although the course of motor recovery has been described previously, detailed kinematic descriptions of acute stage ataxia are rare and no attempt has been made to link improvements in motor function to measu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.583641

    authors: Konczak J,Pierscianek D,Hirsiger S,Bultmann U,Schoch B,Gizewski ER,Timmann D,Maschke M,Frings M

    更新日期:2010-10-01 00:00:00

  • Predictors of Unexplained Early Neurological Deterioration After Endovascular Treatment for Acute Ischemic Stroke.

    abstract:BACKGROUND AND PURPOSE:Although the efficacy of endovascular treatment (EVT) in patients with anterior circulation ischemic stroke (AIS) is well documented, early neurological deterioration after EVT remains a serious issue associated with poor outcome. Besides obvious causes, such as lack of reperfusion, procedural co...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.120.029494

    authors: Girot JB,Richard S,Gariel F,Sibon I,Labreuche J,Kyheng M,Gory B,Dargazanli C,Maier B,Consoli A,Daumas-Duport B,Lapergue B,Bourcier R,ETIS Investigators*.

    更新日期:2020-10-01 00:00:00

  • Neuroimaging Determinants of Poststroke Cognitive Performance.

    abstract::Background and Purpose- We aimed to define the neuroimaging determinants of poststroke cognitive performance and their relative contributions among a spectrum of magnetic resonance imaging markers, including lesion burden and strategic locations. Methods- We prospectively included patients with stroke from the GRECogV...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.021981

    authors: Puy L,Barbay M,Roussel M,Canaple S,Lamy C,Arnoux A,Leclercq C,Mas JL,Tasseel-Ponche S,Constans JM,Godefroy O,GRECogVASC Study Group.

    更新日期:2018-11-01 00:00:00

  • Early recurrent embolism associated with nonvalvular atrial fibrillation: a retrospective study.

    abstract::Nonvalvular atrial fibrillation (NVAF) can be a source of cardiogenic brain embolism. We retrospectively reviewed the clinical features of 56 patients with acute brain infarction and NVAF. Based on clinical criteria, 35 infarcts (63%) were classified as probably embolic, 13 infarcts (23%) as probably nonembolic and 8 ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.14.5.688

    authors: Hart RG,Coull BM,Hart D

    更新日期:1983-09-01 00:00:00

  • A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial.

    abstract:BACKGROUND AND PURPOSE:The Stroke Health and Risk Education Project was a cluster-randomized, faith-based, culturally sensitive, theory-based multicomponent behavioral intervention trial to reduce key stroke risk factor behaviors in Hispanics/Latinos and European Americans. METHODS:Ten Catholic churches were randomize...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/STROKEAHA.115.010678

    authors: Brown DL,Conley KM,Sánchez BN,Resnicow K,Cowdery JE,Sais E,Murphy J,Skolarus LE,Lisabeth LD,Morgenstern LB

    更新日期:2015-10-01 00:00:00

  • Autonomic Dysfunction Predicts Clinical Outcomes After Acute Ischemic Stroke: A Prospective Observational Study.

    abstract:BACKGROUND AND PURPOSE:Central autonomic dysfunction increases stroke morbidity and mortality. We aimed to investigate whether poststroke autonomic dysfunction graded by Ewing battery can predict clinical outcome. METHODS:In this prospective observational study, we assessed autonomic function of ischemic stroke patien...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.117.019312

    authors: Xiong L,Tian G,Leung H,Soo YOY,Chen X,Ip VHL,Mok VCT,Chu WCW,Wong KS,Leung TWH

    更新日期:2018-01-01 00:00:00

  • Cathepsin and calpain inhibitor E64d attenuates matrix metalloproteinase-9 activity after focal cerebral ischemia in rats.

    abstract:BACKGROUND AND PURPOSE:Matrix metalloproteinases (MMPs) and cysteine proteases (calpain and cathepsin B) play an important role in cell death and are upregulated after focal cerebral ischemia. Because there is a significant interaction between MMP-9 with calpain and cathepsin B, we investigated the role of E64d (a calp...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000227259.15506.24

    authors: Tsubokawa T,Solaroglu I,Yatsushige H,Cahill J,Yata K,Zhang JH

    更新日期:2006-07-01 00:00:00

  • Intracerebral hematomas disappear on T2*-weighted images during normobaric oxygen therapy.

    abstract:BACKGROUND AND PURPOSE:The aim of the present study was to investigate the effects of normobaric oxygen (NBO) therapy on T2*-weighted images of intracranial hemorrhages (ICHs). METHODS:Two common models of ICH were performed in mice, and longitudinal T2*-weighted images of the hematomas were acquired under normoxia or...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.002045

    authors: Gaberel T,Gakuba C,Hebert M,Montagne A,Agin V,Rubio M,Emery E,Vivien D,Gauberti M

    更新日期:2013-12-01 00:00:00

  • Localized retinal nerve fiber layer defects and stroke.

    abstract:BACKGROUND AND PURPOSE:Because the blood circulation system of retina and brain are closely related to each other, we examined whether stroke is associated with localized retinal nerve fiber layer defects (RNFLDs). METHODS:Patients with acute ischemic stroke as part of a hospital-based study group were compared with t...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/STROKEAHA.113.004629

    authors: Wang D,Li Y,Wang C,Xu L,You QS,Wang YX,Zhao L,Wei WB,Zhao X,Jonas JB

    更新日期:2014-06-01 00:00:00

  • Subarachnoid hemorrhage: a preventable disease with a heritable component.

    abstract:BACKGROUND AND PURPOSE:Subarachnoid hemorrhage (SAH) caused by ruptured intracranial aneurysm affects approximately 16 000 Americans annually, and almost 40% of affected patients die within 30 days despite the best current therapy. Prevention of SAH is therefore of paramount importance. We present a preliminary analysi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.0000014773.57733.3e

    authors: Kissela BM,Sauerbeck L,Woo D,Khoury J,Carrozzella J,Pancioli A,Jauch E,Moomaw CJ,Shukla R,Gebel J,Fontaine R,Broderick J

    更新日期:2002-05-01 00:00:00

  • Rehabilitation outcome following initial unilateral hemispheric stroke. Life table analysis approach.

    abstract::Life table analysis is a powerful statistical tool that has become the preferred technique for studying both the natural history of and the effect of treatment on disease outcome. We have found only one report using life table analysis to study rehabilitation outcome after stroke. We assessed the recovery of both inde...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.11.1354

    authors: Reding MJ,Potes E

    更新日期:1988-11-01 00:00:00

  • Intakes of potassium, magnesium, and calcium and risk of stroke.

    abstract:BACKGROUND AND PURPOSE:We aimed to investigate the associations of dietary and total potassium, magnesium, and calcium intakes with stroke occurrence. METHODS:A prospective cohort study was conducted among 36 094 participants aged 21 to 70 years. Dietary intake was assessed with a food frequency questionnaire. RESULT...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.004032

    authors: Sluijs I,Czernichow S,Beulens JW,Boer JM,van der Schouw YT,Verschuren WM,Grobbee DE

    更新日期:2014-04-01 00:00:00

  • Candesartan augments ischemia-induced proangiogenic state and results in sustained improvement after stroke.

    abstract:BACKGROUND AND PURPOSE:We have shown that acute treatment with candesartan in an experimental model of stroke resulted in vascular protection and improved outcomes at 24 hours poststroke, but the mechanisms are unknown. We now examine effects of candesartan on proangiogenic factors and 7-day outcomes using the same tre...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.537225

    authors: Kozak A,Ergul A,El-Remessy AB,Johnson MH,Machado LS,Elewa HF,Abdelsaid M,Wiley DC,Fagan SC

    更新日期:2009-05-01 00:00:00

  • Urgent carotid surgery and stenting may be safe after systemic thrombolysis for stroke.

    abstract:BACKGROUND AND PURPOSE:Early carotid surgery or stenting after thrombolytic treatment for stroke has become more common during recent years. It is unclear whether this carries an increased risk of postoperative complications and death. The aim of this nationwide population-based study was, therefore, to investigate the...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.003763

    authors: Koraen-Smith L,Troëng T,Björck M,Kragsterman B,Wahlgren CM,Swedish Vascular Registry and the Riks-Stroke Collaboration.

    更新日期:2014-03-01 00:00:00

  • Cerebral blood flow in single and multiple lacunar infarctions.

    abstract:BACKGROUND AND PURPOSE:Single and multiple lacunar infarctions may have some difference in underlying diseases and cerebral blood flows. To determine the difference, we investigated underlying diseases and cerebral blood flows in single and multiple lacunar infarctions. METHODS:Fifteen cases of lacunar infarction, 10 ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.7.1458

    authors: Mochizuki Y,Oishi M,Takasu T

    更新日期:1997-07-01 00:00:00

  • Sensory sequelae of medullary infarction: differences between lateral and medial medullary syndrome.

    abstract:BACKGROUND AND PURPOSE:A comparison between long-term sensory sequelae of lateral medullary infarction (LMI) and medial medullary infarction (MMI) has never been made. METHODS:We studied 55 patients with medullary infarction (41 with LMI and 14 with MMI) who were followed up for >6 months. We examined and interviewed ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.30.12.2697

    authors: Kim JS,Choi-Kwon S

    更新日期:1999-12-01 00:00:00

  • Computed tomographic study of cervical carotid calcification.

    abstract::Contrast-enhanced computed tomography of the neck permits low-risk evaluation of morphologic complications of carotid plaque, including (and foremost) calcification. To investigate the patterns and clinical significance of calcified deposits in the cervical carotid arteries using computed tomography we studied 40 pati...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.11.1472

    authors: Culebras A,Otero C,Toledo JR,Rubin BS

    更新日期:1989-11-01 00:00:00

  • Diffusion and perfusion magnetic resonance imaging studies to evaluate a noncompetitive N-methyl-D-aspartate antagonist and reperfusion in experimental stroke in rats.

    abstract:BACKGROUND AND PURPOSE:Diffusion magnetic resonance imaging (MRI) can quantitatively detect focal ischemic injury within minutes of onset, and perfusion MRI can evaluate the brain's microcirculation. N-Methyl-D-aspartate (NMDA) antagonists and reperfusion can reduce lesion size in stroke models. We used diffusion and p...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.12.2074

    authors: Minematsu K,Fisher M,Li L,Sotak CH

    更新日期:1993-12-01 00:00:00

  • Delirium in an Acute Stroke Setting, Occurrence, and Risk Factors.

    abstract::Background and Purpose- Delirium is a common and serious complication of acute illness. We describe delirium occurrence in an unselected, acute stroke population. Methods- We collected data from consecutive stroke admissions. We performed comprehensive cognitive assessment within the first week including Diagnostic St...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.119.025993

    authors: Shaw R,Drozdowska B,Taylor-Rowan M,Elliott E,Cuthbertson G,Stott DJ,Quinn TJ

    更新日期:2019-11-01 00:00:00