Cerebral Arterial Embolism Treated by Intra-Arterial Infusion of Urokinase Which Was Occurred during Percutaneous Balloon Mitral Valvuloplasty.
10.4070/kcj.1991.21.1.146
- Author:
Jae Joong KIM
;
Seung Jung PARK
;
Seong Wook PARK
;
In Whan SEONG
;
Jong Koo LEE
;
Youn Mee HWANG
;
Dae Cheol SEO
- Publication Type:Case Report
- Keywords:
Valvuloplasty;
Cerebral embolism;
Thrombolysis
- MeSH:
Adult;
Angiography;
Arteries;
Atrial Fibrillation;
Cerebral Hemorrhage;
Embolism*;
Female;
Humans;
Infusions, Intra-Arterial*;
Intracranial Embolism;
Middle Cerebral Artery;
Mitral Valve Stenosis;
Tomography, X-Ray Computed;
Urokinase-Type Plasminogen Activator*
- From:Korean Circulation Journal
1991;21(1):146-150
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cerebral arterial embolism which resulted in total occlusion of right proximal middle cerebral artery was occured in 33 years old female patients with severe mitral stenosis and atrial fibrillation during percutaneous mitral balloon valvuloplasty(PMV). The occluded artery could be detected by transfemoral carotid angiography and recanalized immediately by intra-arterial infusion of urokinase. There were no cerebral hemorrhage by CT scan after intra-arterial urokinase infusion and the patients discharged without any neurologic sequale 7 days after thrombolysis. We report a case of successful recanalization with intraarterial infusion of urokinase in patient with cerebral arterial embolism occurred during PMV.
