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KMID : 1130620110070030159
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Journal of Clinical Neurology
2011 Volume.7 No. 3 p.159 ~ p.163
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Emergency Microsurgical Embolectomy for the Treatment of Acute Intracranial Artery Occlusion: Report of Two Cases
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Kim Dae-Won
Jang Sung-Jo
Kang Sung-Don
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Abstract
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Background: The main treatment for acute arterial ischemic stroke is intravenous or intra-arterial thrombolysis within a particular time window. Endovascular mechanical embolectomy is another treatment option in the case of major artery occlusion. Endovascular mechanical embolectomy is a useful technique for restoring blood flow in patients with large-vessel occlusion, and especially in those who are contraindicated for thrombolytics or in whom thrombolytic therapy has failed.
Case Report: We report herein two cases of emergency microsurgical embolectomy for the treatment of acute middle cerebral artery and internal carotid artery occlusion as an alternative treatment for major artery occlusion.
Conclusions: Emergency microsurgical mechanical embolectomy may be an alternative treatment option for restoring blood flow in selected patients with large-vessel acute ischemic stroke.
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KEYWORD
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acute ischemic stroke, large-vessel occlusion, microsurgical embolectomy, alternative treatment
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