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KMID : 0359720110290020116
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Journal of the Korean Neurological Association
2011 Volume.29 No. 2 p.116 ~ p.119
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Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu’s Arteritis
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Cho Hyun-Ji
Hyun Jae-Won
Park Kee-Duk
Oh Jee-Young
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Abstract
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The usefulness of intravenous tissue plasminogen activator (IVT) in patients with acute ischemic stroke related to Takayasu’s arteritis (TA) has not been documented; it is not recommended due to the risk of hemorrhage. We experienced a 43-year-old female with acute ischemic stroke as an initial manifestation of TA, who was treated with IVT without subsequent complication. Typical occlusion of the abdominal aorta and common carotid artery in angiography led to the delayed diagnosis of TA. Follow-up conventional angiography performed 3 years later showed a stable vascular lesion.
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KEYWORD
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Takayasu’s arteritis, Intravenous thrombolysis, Acute ischemic stroke
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