Intra-arterial thrombolysis for perioperative stroke after open heart surgery
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Updated: Oct 24, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
I L Katzan1, T J Masaryk, A J Furlan
1Cerebrovascular Center, Department of Neurology, Cleveland Clinic Foundation, OH 44195, USA.
Abstract:
Recent major surgery is an exclusion criterion for thrombolysis. Six patients with acute ischemic stroke underwent intra-arterial thrombolysis after recent open heart surgery without clinically significant bleeding complications, although one patient developed a small, asymptomatic cerebellar hemorrhage. Intra-arterial thrombolysis may be an option for patients with cerebral embolism in the perioperative period.
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