CASE OF EFFECTIVE REPERFUSION THERAPY IN PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT AND ACUTE CORONARY SYNDROME
Abstract
ABSTRACT. Currently, acute cerebrovascular accident is an extremely important medical and social issue. Stroke is a major cause of disability in the population and takes a leading place among the causes of death.
Modern hightech endovascular treatment of the ischemic stroke (IS) and acute coronary syndrome (ACS) includes effective methods of reperfusion of the brain and myocardium within first hours of the disease.
In this paper, we report two clinical examples of hightech reperfusion endovascular treatment in the same patient at an intervals of 1 year and 6 months in the development of clinical picture of the stroke and ACS in Regional Clinical hospital № 1 n.a. Prof. S.V. Ochapovsky.
In the first case, intraaortic TLT of two cerebral arteries (ACA and MCA) was performed simultaneously with delayed recanalization and complete regression of focal neurological symptoms. And in the second case, selective thrombolytic therapy was performed in the acute phase of stroke, which developed few hours after PTCA RCA in ACS, with a good clinical effect.
About the Authors
L. V. Timchenko
Research Institute — Regional Clinical Hospital №1 n.a. Prof. S.V. Ochapovsky Ministry of Health of the Krasnodar Territory, Krasnodar
Russian Federation
Russian Federation
O. N. Zhadan
Research Institute — Regional Clinical Hospital №1 n.a. Prof. S.V. Ochapovsky Ministry of Health of the Krasnodar Territory, Krasnodar
Russian Federation
Russian Federation
A. N. Torgashova
Research Institute — Regional Clinical Hospital №1 n.a. Prof. S.V. Ochapovsky Ministry of Health of the Krasnodar Territory, Krasnodar
Russian Federation
Russian Federation
References
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Review
For citations:
Timchenko L.V., Zhadan O.N., Torgashova A.N. CASE OF EFFECTIVE REPERFUSION THERAPY IN PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT AND ACUTE CORONARY SYNDROME. Russian Sklifosovsky Journal "Emergency Medical Care". 2015;(3):60-64.
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