{"id":"460da089-f95c-4124-b7b9-3ed7802e756c","slug":"surgical-embolectomy-for-middle-cerebral-artery-occlusion-after-thrombolytic-therapy-a-report-of-two-cases","title":"Surgical embolectomy for middle cerebral artery occlusion after thrombolytic therapy: A report of two cases","authors":["Makoto Katsuno","Kazutsune Kawasaki","Naoto Izumi","Masaaki Hashimoto"],"abstract":"Background: Occlusion of the intracranial main trunk results in a poor functional outcome and a high mortality rate. Accordingly, some revascularization procedures such as intravenous administration of recombinant tissue plasminogen activator (rt-PA), endovascular surgery, or surgical embolectomy in the very acute stage have been attempted. Case Description: We describe two patients with middle cerebral artery occlusion due to cardiogenic embolism. One patient was subjected to surgical embolectomy shortly after intravenous rt-PA and the other was subjected to same after intra-arterial urokinase. Complete recanalization without new cerebral infarction territory was achieved in both patients. Conclusion: Based on our experience, we think that surgical embolectomy is an effective and safe procedure and should be attempted when no response to early thrombolytic therapy is obtained.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/460da089-f95c-4124-b7b9-3ed7802e756c/featured/hero-1782421000008.png","publishDate":"2014-06-13T00:00:00.000Z","doi":"10.4103/2152-7806.134520","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/460da089-f95c-4124-b7b9-3ed7802e756c/pdf"}