Changes in hemocoagulation in acute stroke patients after one-hour sono-thrombolysis using a diagnostic probe

Ultrasound Med Biol. 2010 Jul;36(7):1052-9. doi: 10.1016/j.ultrasmedbio.2010.04.010.

Abstract

The aim was to monitor the changes in hemocoagulation parameters in acute ischemic stroke (AIS) patients after sono-thrombolysis of the occluded middle cerebral artery using a duplex transcranial probe with 2.0-MHz frequency in Doppler mode. Sixteen AIS patients indicated for intravenous thrombolysis (IVT) (8 males; mean age 68.3 +/- 7.1 y) and 16 AIS patients contraindicated for IVT (11 males; mean age 67.9 +/- 7.9 y) were randomized for sono-thrombolysis (8 + 8 patients) or standard treatment (control group) (8 + 8 patients). The significant decrease of plasminogen activator inhibitor-1, plasminogen and alpha-2-antiplasmin activity by a mean of 60, 32 and 24%, respectively, and the increase of tissue plasminogen activator by a mean of 56% was found after sono-thrombolysis when compared with control group (p < 0.0125); these changes were more evident in patients treated with a combination of sono-thrombolysis and IVT (79, 38, 50 and 82%, respectively) than in patients treated by sono-thrombolysis alone (34, 13, 17 and 30%, respectively).

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Blood Coagulation / radiation effects*
  • Echoencephalography / instrumentation*
  • Equipment Design
  • Equipment Failure Analysis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Sonication / instrumentation*
  • Stroke / diagnostic imaging
  • Stroke / physiopathology*
  • Stroke / therapy*
  • Thrombolytic Therapy / instrumentation*
  • Thrombolytic Therapy / methods
  • Treatment Outcome
  • Ultrasonic Therapy / instrumentation*
  • Ultrasonic Therapy / methods
  • Young Adult