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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.

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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

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