SUCCESSFUL ASPIRATION OF THROMBOTIC MASSES OUT OF THE LEFT INTERNAL CAROTID ARTERY LUMEN USING A PROXIMAL EMBOLIC PROTECTION DEVICE IN THE CONDITIONS OF THROMBOLYTIC THERAPY PERFORMANCE

• Main Authors: A. S. Nekrasov, A. I. Beliy, O. S. Volkolup, P. A. Tupikin
• Format: Article
• Language: Russian
• Published: Kubankurortresurs, OOO 2019-02-01
• Series: Инновационная медицина Кубани
• Subjects: acute ischemic stroke; thromboaspiration; thrombolytic therapy; combined modality therapy; thrombolysis
• Online Access: https://inovmed.elpub.ru/jour/article/view/103

Combined techniques of treatment for ischemic stroke are even more often included into routine work of specialized teams. One of them based on a combination of systemic thrombolytic therapy and endovascular methods is characterized by a high rate of favorable outcomes. However, it is worth remembering that to achieve success it is necessary to keep within strictly limited therapeutic window, otherwise intravenous administration of a thrombolytic agent will be contraindicated that can significantly affect a positive outcome. Clinical observation for a combination with systemic thrombolytic therapy and endovascular mechanical thromboaspiration with use of the proximal embolic protection device at a total thrombosis of the left internal carotid artery lumen is presented in this article.