[Carotid TEA and perioperative thrombolysis: a new concept in therapy of acute ischemic stroke]
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Updated: Aug 17, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
H H Eckstein1, H Laubach, A Schaible
1Sektion Gefässchirurgie, Chirurgische Universitätsklinik Heidelberg.
Abstract:
In seven carotid-related acute hemispheric strokes with simultaneous embolic occlusion of the middle cerebral artery thrombolysis with urocinase or rt-PA was performed preoperatively (n = 3) or intraoperatively (n = 4) after carotid endarterectomy. Four patients recovered totally, three patients showed a remarkable improvement and were able to walk postoperatively. The combination of carotid endarterectomy and thrombolysis (simultaneous or staged) is a new option in the emergency treatment of an acute carotid-related stroke and should be evaluated in prospective interdisciplinary studies.
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