Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Angioplasty in acute middle cerebral artery stroke due to atrial fibrillation selected by CT perfusion: a case report | Saletti et al. International Journal of Emergency Medicine 2011 4 23 http content 4 1 23 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Angioplasty in acute middle cerebral artery stroke due to atrial fibrillation selected by CT perfusion a case report Andrea Saletti1 Ilaria Morghen2 Luca Finessi2 and Enrico Fainardi3 Abstract We report the experience of a case of acute stroke in a patient affected by Rendu Osler syndrome and atrial fibrillation. The combination of dynamic computerized tomography perfusion scans and the use of a high-compliance balloon allowed increasing the treatment window for intra-arterial recanalization over 6 h after stroke onset in a patient with middle cerebral artery occlusion. Background Stroke is the third leading cause of death in the United States Canada Europe and Japan. Currently thrombolysis of the clot responsible for an ischemic event is proving to be an effective therapy for improving the patients condition following an acute stroke. One of the most important elements in obtaining clinical success is how early treatment is first established early treatment within 3 h for intravenous recombinant tissue plasminogen activator rt PA and within 6 h for IA intra-arterial thrombolysis shows significant post-clinical improvement after 90 days and reduced incidence of cerebral hemorrhage. Improved imaging distinguishing ischemic penumbra from irreversibly infarcted tissue could be a criterion more accurate than the duration of symptoms for selecting patients to undergo therapy 1 . Recent advances in the field of neurointerventional radiology with the development of different clot retrievers and high-compliance balloons and stents have made IA recanalization feasible and afford safe access to the major intracranial blood vessels by a percutaneous transfemoral approach under local anesthesia. Successful recanalization is associated with improved outcome after acute ischemic stroke
