S. Khasani et al., Therapy of postoperative stroke: Report trombolysis of a hyperacute of intra-arterial embolic stroke 5 days following CABG, CATHET C IN, 54(3), 2001, pp. 339-341
Intra-arterial (IA) recombinant tissue plasminogen activator (rt-PA) is an
investigational treatment for acute stroke. We report a case of IA thrombol
ysis of a hyperacute middle cerebral artery stroke 5 days after coronary ar
tery bypass graft surgery. Despite a serious extracranial bleeding complica
tion (hemothorax), immediate thrombolysis with IA rt-PA led to near complet
e resolution of the neurological deficit and a favorable outcome. (C) 2001
Wiley-Liss, Inc.