Study of intravenous thrombolysis with recombinant tissue plasminogen activator(rtPA)in isolatedpenetrating artery territory infarcts
10.3760/cma.j.issn.1671-0282.2012.02.021
- VernacularTitle:穿支动脉区孤立性梗死静脉溶栓治疗研究
- Author:
Renyang ZHU
;
Min LOU
;
Min XU
;
Yuqing YAN
;
Jimin WU
;
Jiong ZHOU
;
Yingying BAO
;
Haitao HU
;
Shuijiang SONG
;
Meiping DING
- Publication Type:Journal Article
- Keywords:
Intravenous thrombolysis;
Cerebral infarct;
Recombinant tissue plasminogen activator (rtPA);
Hemorrhagic transformation(HT);
Penetrating artery;
Neurological function;
Chinese ischemic stroke subclassification
- From:
Chinese Journal of Emergency Medicine
2012;21(2):193-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of intravenous thrombolytic therapy with recombinant tissue plasminogen activator(rtPA)in patients with isolated penetrating artery territory infarct (IPAI).Methods Data of retrospectively collected clinical,laboratory,and radiological from 75 consecutive patients with acute ischemic stroke treated with intravenous rtPA therapy from June 2009 to April 2011.Etiological classification was carried out according to the Chinese Ischemic Stroke Classification of Subgroups(CISS).The rates of hemorrhagic transformation(HT)and clinical outcomes of patients were compared between IPAI group and non-IPAI group.Results All 75 patients with mean age of 67.4years and 25(33.3％)fenale,were treated with intravenous rtPA.Before treatment,their average score of the National Institutes of Health Stroke Scale(NIHSS)was 12.3 ± 6.4,and mean length of time from onset to treatment was 239.6 ±97.5 minutes.After thrombolytic therapy,the radiological HT was found in 24 patients(32％).Symptomatic intracraneal hemorrhage(ICH)occurred in 4 patients(5.3％).Of 22 (29.3％)patients with IPAI,only one experienced HT.Logistic regression analysis suggested that IPAI wasan individualized predictor used alone for determining the low risk of HT.In the patients with IPAI,82％ of them had an individual clinical outcome(mRS ＜ 2)one month after onset,and the neurological outcomes were better in patients with IPAI than those in patients with non-IPAI(P ＜ 0.01).Conclusions The risk of hemorrhagic complication was low and the clinical outcome was good in patients with isolated penetrating artery territory infarct after intravenous thrombolytic therapy with rtPA.Imaging diagnosis of IPAI might facilitate the treatment with rtPA in this cohort of patients.
