American Journal of Neuroradiology, Vol 19, Issue 4 758-760, Copyright © 1998 by American Society of Neuroradiology
ARTICLES |
Transcranial sonographic monitoring during thrombolytic therapy
M Kaps and A Link
Department of Neurology, University at Luebeck, Germany.
Two patients with acute occlusion of the middle cerebral artery (MCA) were treated with intravenous alteplase. Neurovascular monitoring, which was performed simultaneously via transcranial sonography, enabled precise documentation of MCA recanalization. This information was used to tailor the dosage and duration of alteplase treatment. Sonographic information concerning the arterial segments involved in the occlusive process, the actual hemodynamic status, and the collateral blood supply may help to identify those patients most likely to benefit from thrombolysis.
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