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Case Report
INTERVENTIONAL

Intraarterially Administered Abciximab as an Adjuvant Thrombolytic Therapy: Report of Three Cases

O-Ki Kwona, Ki Jae Leea, Moon Hee Hanb,d, Chang-Wan Ohc, Dae Hee Hanc and Young Cho Koha

a Neurovascular Center, Inje University, Seoul Paik Hospital, Seoul, Korea
b Departments of Radiology Seoul National University College of Medicine, Clinical Research Institute, Seoul, Korea
c Departments of Neurosurgery, Seoul National University College of Medicine, Clinical Research Institute, Seoul, Korea
d Seoul National University Hospital, Seoul, Korea

Address reprint requests to Moon Hee Han, MD, Department of Diagnostic Radiology, Seoul National University Hospital, 28 Yongon-dong, Chongno-ku, Seoul 110–744, Korea

Summary: The intravenous administration of abciximab can be used as an adjuvant therapy to facilitate thrombolysis for acute cerebrovascular occlusion. However, to our knowledge, the intraaterial administration of abciximab has not been reported. We recently treated three patients with acute thrombosis of the cerebral arteries by using an intraarterial infusion of urokinase and abciximab. Even with small doses, we achieved rapid and complete recanalization without complications. We believe that the intraarterial infusion of abciximab may be promising for effective and safe recanalization of acute thrombotic occlusion of cerebral arteries.




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