Korean Circ J.  1991 Feb;21(1):146-150. 10.4070/kcj.1991.21.1.146.

Cerebral Arterial Embolism Treated by Intra-Arterial Infusion of Urokinase Which Was Occurred during Percutaneous Balloon Mitral Valvuloplasty

• Kim JJ
• Park SJ
• Park SW
• Seong IW
• Lee JK
• Hwang YM
• Seo DC

• KMID: 2229130
• DOI: http://doi.org/10.4070/kcj.1991.21.1.146

Abstract

Cerebral arterial embolism which resulted in total occlusion of right proximal middle cerebral artery was occured in 33 years old female patients with severe mitral stenosis and atrial fibrillation during percutaneous mitral balloon valvuloplasty(PMV). The occluded artery could be detected by transfemoral carotid angiography and recanalized immediately by intra-arterial infusion of urokinase. There were no cerebral hemorrhage by CT scan after intra-arterial urokinase infusion and the patients discharged without any neurologic sequale 7 days after thrombolysis. We report a case of successful recanalization with intraarterial infusion of urokinase in patient with cerebral arterial embolism occurred during PMV.

Keyword

Valvuloplasty; Cerebral embolism; Thrombolysis

MeSH Terms

Adult
Angiography
Arteries
Atrial Fibrillation
Cerebral Hemorrhage
Embolism*
Female
Humans
Infusions, Intra-Arterial*
Intracranial Embolism
Middle Cerebral Artery
Mitral Valve Stenosis
Tomography, X-Ray Computed
Urokinase-Type Plasminogen Activator*
Urokinase-Type Plasminogen Activator