Urgent superficial temporal artery to middle cerebral artery bypass shortly after intravenous rt-PA

Abstract

Whether to provide surgical intervention within 24 hours of intravenous recombinant tissue plasminogen activator (rt-PA) treatment is a subject of controversy. In this study, we report a case in which neurological deterioration was prevented by urgent bypass surgery performed shortly after rt-PA treatment.

Keywords::

• carotid stenosis
• internal carotid artery
• revascularization
• stroke

Declaration of interest:The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.