본문 바로가기
KERD
논문KCI 등재

급성 뇌경색으로 발현한 다카야스동맥염 환자에게 시행된 정맥 내 t-PA 혈전용해치료

Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu’s Arteritis

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류신경과학

초록

The usefulness of intravenous tissue plasminogen activator (IVT) in patients with acute ischemic stroke related to Takayasu’s arteritis (TA) has not been documented; it is not recommended due to the risk of hemorrhage. We experienced a 43-year-old female with acute ischemic stroke as an initial manifestation of TA, who was treated with IVT without subsequent complication. Typical occlusion of the abdominal aorta and common carotid artery in angiography led to the delayed diagnosis of TA. Follow-up conventional angiography performed 3 years later showed a stable vascular lesion.

Abstract

The usefulness of intravenous tissue plasminogen activator (IVT) in patients with acute ischemic stroke related to Takayasu’s arteritis (TA) has not been documented; it is not recommended due to the risk of hemorrhage. We experienced a 43-year-old female with acute ischemic stroke as an initial manifestation of TA, who was treated with IVT without subsequent complication. Typical occlusion of the abdominal aorta and common carotid artery in angiography led to the delayed diagnosis of TA. Follow-up conventional angiography performed 3 years later showed a stable vascular lesion.

참고문헌 (10)

  1. Andrews J, "Takayasu's arteritis-recent advances in imaging offer promise", Rheumatology (Oxford), 46, pp.6~15 (2007)
  2. Brunner J, "Takayasu arteritis in children and adolescents", Rheumatology (Oxford), 49, pp.1806~1814 (2010)
  3. Cerrato P, "Stroke in young patients: Etiopathogenesis and risk factors in different age classes", Cerebrovasc Dis, 18, pp.154~159 (2004)
  4. Kumral E, "Microembolus detection in patients with takayasu’s arteritis", Stroke, 33, pp.712~716 (2002)
  5. Takano K, "Altered cerebral hemodynamics and metabolism in takayasu’s arteritis with neurological deficits", Stroke, 24, pp.1501~1506 (1993)
  6. Gravanis MB, "Giant cell arteritis and takayasu aortitis: Morphologic, pathogenetic and etiologic factors", Int J Cardiol, 75(1), pp.21~33 (2000)
  7. Sueyoshi E, "MRI of takayasu’s arteritis: typical appearances and complications", AJR Am J Roentgenol, 187, pp.569~575 (2006)
  8. Srinivasan G, "Unsuspected vasculitis and intracranial hemorrhage following thrombolysis", Clin Cardiol, 20, pp.84~86 (1997)
  9. Benarroch EE, "Tissue plasminogen activator: beyond thrombolysis", Neurology, 69, pp.799~802 (2007)
  10. Matsuyama A, "Matrix metalloproteinases as novel disease markers in takayasu arteritis", Circulation, 108, pp.1469~1473 (2003)

관련 논문AI추천

이 간행물의 다른 논문 (20건)