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September 25, 2001; 57 (6) Brief Communications

Intra-arterial urokinase for acute ischemic stroke

Factors associated with complications

D.L. Tirschwell, W.M. Coplin, K.J. Becker, P. Vogelzang, J. Eskridge, D. Haynor, W. Cohen, D. Newell, H.R. Winn, W.T. Longstreth
First published September 25, 2001, DOI: https://doi.org/10.1212/WNL.57.6.1100
D.L. Tirschwell
MD MSc
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W.M. Coplin
MD
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K.J. Becker
MD
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P. Vogelzang
MD
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J. Eskridge
MD
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D. Haynor
MD
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W. Cohen
MD
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D. Newell
MD
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H.R. Winn
MD
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W.T. Longstreth Jr.
MD MPH
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Full PDF
Citation
Intra-arterial urokinase for acute ischemic stroke
Factors associated with complications
D.L. Tirschwell, W.M. Coplin, K.J. Becker, P. Vogelzang, J. Eskridge, D. Haynor, W. Cohen, D. Newell, H.R. Winn, W.T. Longstreth
Neurology Sep 2001, 57 (6) 1100-1103; DOI: 10.1212/WNL.57.6.1100

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Abstract

The authors abstracted the records of 43 patients treated with intra-arterial urokinase for acute ischemic stroke to identify predictors of serious complications. Sixteen (37%) had such a complication. Higher urokinase dose (>1.5 × 106 U), higher mean arterial blood pressure before treatment (>130 mm Hg), basilar occlusive strokes, and severe strokes were most predictive of these complications. Although urokinase is no longer manufactured, these findings identify patients at risk for complications from other intra-arterial thrombolytics.

  • Received October 25, 2000.
  • Accepted May 22, 2001.
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