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Katsuno M, Kawasaki K, Izumi N, et al. Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases. Surg Neurol Int. 2014;5:93doi: 10.4103/2152-7806.134520.
Katsuno, M., Kawasaki, K., Izumi, N., & Hashimoto, M. (2014). Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases. Surgical neurology international, 593. https://doi.org/10.4103/2152-7806.134520
Katsuno, Makoto, et al. "Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases." Surgical neurology international vol. 5 (2014): 93. doi: https://doi.org/10.4103/2152-7806.134520
Katsuno M, Kawasaki K, Izumi N, Hashimoto M. Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases. Surg Neurol Int. 2014 Jun 13;5:93. doi: 10.4103/2152-7806.134520. eCollection 2014. PMID: 25024893; PMCID: PMC4093772.
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Surg Neurol Int. 2014 Jun 13;5:93. doi: 10.4103/2152-7806.134520. eCollection 2014.

Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases.

Surgical neurology international

Makoto Katsuno, Kazutsune Kawasaki, Naoto Izumi, Masaaki Hashimoto

Affiliations

  1. Department of Neurosurgery, Abashiri Neurosurgical and Rehabilitation Hospital, Abashiri, Hokkaido, Japan.

PMID: 25024893 PMCID: PMC4093772 DOI: 10.4103/2152-7806.134520

Abstract

BACKGROUND: Occlusion of the intracranial main trunk results in a poor functional outcome and a high mortality rate. Accordingly, some revascularization procedures such as intravenous administration of recombinant tissue plasminogen activator (rt-PA), endovascular surgery, or surgical embolectomy in the very acute stage have been attempted.

CASE DESCRIPTION: We describe two patients with middle cerebral artery occlusion due to cardiogenic embolism. One patient was subjected to surgical embolectomy shortly after intravenous rt-PA and the other was subjected to same after intra-arterial urokinase. Complete recanalization without new cerebral infarction territory was achieved in both patients.

CONCLUSION: Based on our experience, we think that surgical embolectomy is an effective and safe procedure and should be attempted when no response to early thrombolytic therapy is obtained.

Keywords: Cerebral infarction; middle cerebral artery; surgical embolectomy

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