FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 347:769-770 September 5, 2002 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article Related Article PubMed Citation

To the Editor: Local intraarterial fibrinolysis has improved the outcome for patients with acute vertebrobasilar occlusion. The procedure has increased survival rates to 30 to 45 percent^1,2,3 and resulted in rates of recanalization ranging from 50 to 75 percent.^2,3,4,5 However, thrombolysis can also lead to intracerebral hematomas, even in the posterior circulation (incidence, 0 to 15 percent),^1,2,3,4,5 as well as to systemic hemorrhage.

Mechanical extraction of embolic material offers a potential alternative to fibrinolysis, especially for patients in whom fibrinolysis is contraindicated or in whom it has failed. We and others have tested several extraction devices experimentally. Recently, with the . . . [Full Text of this Article]

Related Letters:

Extraction of an Embolus
Mayer T., Hamann G., Brueckmann H.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:557, Feb 6, 2003. Correspondence

This article has been cited by other articles:

• Ciccone, A., Valvassori, L., Gasparotti, R., Scomazzoni, F., Ballabio, E., Sterzi, R. (2007). Debunking 7 Myths That Hamper the Realization of Randomized Controlled Trials on Intra-Arterial Thrombolysis for Acute Ischemic Stroke. Stroke 38: 2191-2195 [Abstract] [Full Text]  
• Marder, V. J., Chute, D. J., Starkman, S., Abolian, A. M., Kidwell, C., Liebeskind, D., Ovbiagele, B., Vinuela, F., Duckwiler, G., Jahan, R., Vespa, P. M., Selco, S., Rajajee, V., Kim, D., Sanossian, N., Saver, J. L. (2006). Analysis of Thrombi Retrieved From Cerebral Arteries of Patients With Acute Ischemic Stroke. Stroke 37: 2086-2093 [Abstract] [Full Text]  
• Mayer, T. E., Hamann, G. F., Schulte-Altedorneburg, G., Bruckmann, H. (2005). Treatment of Vertebrobasilar Occlusion by Using a Coronary Waterjet Thrombectomy Device: A Pilot Study. Am. J. Neuroradiol. 26: 1389-1394 [Abstract] [Full Text]  
• Arnold, M, Nedeltchev, K, Schroth, G, Baumgartner, R W, Remonda, L, Loher, T J, Stepper, F, Sturzenegger, M, Schuknecht, B, Mattle, H P (2004). Clinical and radiological predictors of recanalisation and outcome of 40 patients with acute basilar artery occlusion treated with intra-arterial thrombolysis. J. Neurol. Neurosurg. Psychiatry 75: 857-862 [Abstract] [Full Text]  
• Wikholm, G. (2003). Transarterial Embolectomy in Acute Stroke. Am. J. Neuroradiol. 24: 892-894 [Abstract] [Full Text]  
• Mayer, T., Hamann, G., Brueckmann, H. (2003). Extraction of an Embolus. NEJM 348: 557-557 [Full Text]