Acute embolic carotid occlusion after cardiac catheterization: effect of local intra-arterial urokinase thrombolysis

J Invasive Cardiol. 1995 Dec;7(9):277-82.

Abstract

A 64-year-old woman developed a severe embolic cerebral attack with total left hemiplegia approximately 30 hours after cardiac catheterization for mitral stenosis. She underwent intra-arterial thrombolysis of the right internal carotid artery four and one-half hours after the onset of neurologic deficit with subsequent recanalization of the occluded vessel and near complete neurologic recovery.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Cardiac Catheterization / instrumentation*
  • Carotid Artery Thrombosis / diagnostic imaging
  • Carotid Artery Thrombosis / drug therapy*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / drug effects
  • Catheterization / instrumentation*
  • Cerebral Angiography / drug effects
  • Female
  • Humans
  • Injections, Intra-Arterial
  • Intracranial Embolism and Thrombosis / diagnostic imaging
  • Intracranial Embolism and Thrombosis / drug therapy*
  • Middle Aged
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / therapy*
  • Neurologic Examination / drug effects
  • Thrombolytic Therapy*
  • Urokinase-Type Plasminogen Activator / administration & dosage*

Substances

  • Urokinase-Type Plasminogen Activator