Angiographically documented hemorrhagic conversion of a left middle cerebral artery embolic stroke during intra-arterial thrombolysis. (8th December 2010)

• Record Type: Journal Article
• Authors: Prince, Ethan A; Jayaraman, Mahesh V; Schirmang, Todd; Haas, Richard
• Is Part Of: Journal of neurointerventional surgery. Volume 3:Number 3(2011)
• Page Start: 246
• Page End: 248
• Publication Date: 2010-12-08
• Subjects: Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/jnis.2010.003459
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : Background and purpose: The clinical benefits of intra-arterial thrombolysis for ischemic stroke must be weighed against the risks, including hemorrhagic conversion. Summary of case: A case of angiographically documented hemorrhagic conversion of an ischemic stroke during intra-arterial thrombolysis is presented. Discussion focuses on recognition and management of risk factors for hemorrhagic conversion during performance of stroke thrombolysis. Conclusions: Recognition and modification of risk factors for hemorrhagic conversion may not prevent this complication during stroke thrombolysis. Identification of the angiographic appearance of hemorrhagic conversion should alert the interventionalist to the likelihood of a poor clinical outcome regardless of vessel patency status.