KIM, Jo Sik, Garami ZSOLT, Robert MIKULÍK, Carlos MOLINA a Andrei ALEXANDROV. Early Recanalization Rates and Clinical Outcomes in Patients With Tandem Internal Carotid Artery/Middle Cerebral Artery Occlusion and Isolated Middle Cerebral Artery Occlusion. Stroke : a journal of cerebral circulation. Dallas: American Heart Association, 2005, roč. 36, č. 4, s. 869-871. ISSN 0039-2499.
Další formáty:   BibTeX LaTeX RIS
Základní údaje
Originální název Early Recanalization Rates and Clinical Outcomes in Patients With Tandem Internal Carotid Artery/Middle Cerebral Artery Occlusion and Isolated Middle Cerebral Artery Occlusion
Název česky Četnost časné rekanalizace a klinický stav u pacientů se tandemovou okluzí arteria karotis interna/arteria cerebri media a izolovanou okluzí arteria cerebri media
Autoři KIM, Jo Sik (410 Korejská republika), Garami ZSOLT (348 Maďarsko), Robert MIKULÍK (203 Česká republika, garant), Carlos MOLINA (724 Španělsko) a Andrei ALEXANDROV (840 Spojené státy).
Vydání Stroke : a journal of cerebral circulation, Dallas, American Heart Association, 2005, 0039-2499.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30000 3. Medical and Health Sciences
Stát vydavatele Česká republika
Utajení není předmětem státního či obchodního tajemství
Impakt faktor Impact factor: 5.855
Organizační jednotka Lékařská fakulta
UT WoS 000227523800148
Klíčová slova anglicky stroke acute; outcome; ultrasonography; Doppler transcranial; thrombolysis
Štítky Doppler transcranial, outcome, stroke acute, thrombolysis, Ultrasonography
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnil: prof. MUDr. Robert Mikulík, Ph.D., učo 38765. Změněno: 18. 6. 2009 13:48.
Anotace
Background: Patients with isolated middle cerebral artery (MCA) and tandem MCA/internal carotid artery (ICA)obstruction have similar presenting symptoms and stroke severity. We aimed to investigate early recanalization of MCA and clinical outcomes in patients with tandem ICA/MCA obstructions and isolated MCA occlusion. Methods: Patients with MCA occlusion on pretreatment transcranial Doppler were treated with intravenous tissue plasminogen activator. ICA lesions were detected with carotid duplex. Early neurological improvement (ENI) was defined by reduction of National Institutes of Health Stroke Scale (NIHSS) 10 or more points or total NIHSS 3 or less points. Good outcome at 3 months was a modified Rankin score of 2 or more. Results: Among 104 patients, 31% had tandem lesions and 69% had isolated MCA occlusions. Complete recanalization rate was 39% in isolated MCA occlusion group and 9% in tandem group (P=0.002). ENI at 24 hours occurred in 46% of the isolated MCA occlusion group and in 25% of the tandem group (P=0.045). Good outcome was achieved by 30% and 39% respective patients (NS). Conclusion: The tandem lesion group showed lower early recanalization rate and ENI rate than the isolated MCA occlusion group. Despite this, good outcomes were similar in both groups.
Anotace česky
Četnost časné rekanalizace a klinický stav u pacientů se tandemovou okluzí arteria karotis interna/arteria cerebri media byly horsi nez s izolovanou okluzí arteria cerebri media
VytisknoutZobrazeno: 7. 12. 2021 05:15