Local intraarterial fibrinolytic therapy in inaccessible internal carotid occlusion

Neuroradiology. 1984;26(4):315-7. doi: 10.1007/BF00339777.


Two exemplary cases of upper carotid occlusion and successful local intraarterial fibrinolytic therapy are described. To achieve a positive result one has to perform a balloon occlusion of the affected internal carotid artery while applying the fibrinolytic agent. Possible time limits of instigating therapy are discussed especially if the lenticulostriatal arteries are additionally affected.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carotid Artery Thrombosis / diagnostic imaging
  • Carotid Artery Thrombosis / drug therapy*
  • Carotid Artery, Internal / drug effects
  • Cerebral Angiography
  • Female
  • Fibrinolysis / drug effects
  • Humans
  • Injections, Intra-Arterial
  • Middle Aged
  • Urokinase-Type Plasminogen Activator / therapeutic use*


  • Urokinase-Type Plasminogen Activator