Katzan I L, Masaryk T J, Furlan A J, Sila C A, Perl J, Andrefsky J C, Cosgrove D M, Sabik J F, McCarthy P M
Cerebrovascular Center, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA.
Neurology. 1999 Mar 23;52(5):1081-4. doi: 10.1212/wnl.52.5.1081.
Recent major surgery is an exclusion criterion for thrombolysis. Six patients with acute ischemic stroke underwent intra-arterial thrombolysis after recent open heart surgery without clinically significant bleeding complications, although one patient developed a small, asymptomatic cerebellar hemorrhage. Intra-arterial thrombolysis may be an option for patients with cerebral embolism in the perioperative period.
近期进行过大手术是溶栓治疗的排除标准。6例急性缺血性卒中患者在近期接受心脏直视手术后接受了动脉内溶栓治疗，未出现具有临床意义的出血并发症，尽管有1例患者出现了少量无症状的小脑出血。动脉内溶栓可能是围手术期脑栓塞患者的一种选择。
