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      KCI등재 SCI SCIE SCOPUS

      Intra-arterial Thrombolysis for Central Retinal Artery Occlusion: Two Cases Report

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      https://www.riss.kr/link?id=A104744115

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      다국어 초록 (Multilingual Abstract)

      Central retinal artery occlusion (CRAO) causes severe visual loss in affected eye and vision does not recover in more than 90% of the patients. It is believed that it occurs by occlusion of the central retinal artery with small emboli from atherosclerotic plaque of internal cerebral artery. Retina is a part of the brain, thus basically CRAO is corresponding to acute occlusion of intracerebral artery and retinal ischemia is to cerebral stroke. Therefore, intra-arterial thrombolysis (IAT) has been considered as a treatment method in CRAO. Recently, we treated 2 patients diagnosed as CRAO and could achieve complete recanalization on fundus fluorescein angiogram with IAT. Of them, one recovered visual acuity to 20/25. We report our 2 CRAO cases treated with IAT and discuss technical aspects for IAT and management of patient.

      To the best of our knowledge, this is the first Korean report of IAT for CRAO.
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      Central retinal artery occlusion (CRAO) causes severe visual loss in affected eye and vision does not recover in more than 90% of the patients. It is believed that it occurs by occlusion of the central retinal artery with small emboli from atheroscler...

      Central retinal artery occlusion (CRAO) causes severe visual loss in affected eye and vision does not recover in more than 90% of the patients. It is believed that it occurs by occlusion of the central retinal artery with small emboli from atherosclerotic plaque of internal cerebral artery. Retina is a part of the brain, thus basically CRAO is corresponding to acute occlusion of intracerebral artery and retinal ischemia is to cerebral stroke. Therefore, intra-arterial thrombolysis (IAT) has been considered as a treatment method in CRAO. Recently, we treated 2 patients diagnosed as CRAO and could achieve complete recanalization on fundus fluorescein angiogram with IAT. Of them, one recovered visual acuity to 20/25. We report our 2 CRAO cases treated with IAT and discuss technical aspects for IAT and management of patient.

      To the best of our knowledge, this is the first Korean report of IAT for CRAO.

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      참고문헌 (Reference)

      1 Rumelt S, "Update on treatment of retinal arterial occlusions" 14 : 139-141, 2003

      2 Biousse V, "Transient monocular visual loss" 140 : 717-721, 2005

      3 Biousse V, "Thrombolysis for central retinal artery occlusion" 27 : 215-230, 2007

      4 Plant GT, "Thrombolysis for central retinal artery occlusion" 76 : 160-161, 2005

      5 Streifler JY, "The risk of stroke in patients with firstever retinal vs hemispheric transient ischemic attacks and high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial" 52 : 246-249, 1995

      6 Butz B, "Selective intraarterial fibrinolysis of acute central retinal artery occlusion" 44 : 680-684, 2003

      7 Hayreh SS, "Retinal arterial occlusion with LIF using rTPA" 106 : 1236-1239, 1999

      8 Schmidt DP, "Prognosis of central retinal artery occlusion: local intraarterial fibrinolysis versus conservative treatment" 23 : 1301-1307, 2002

      9 Benavente O, "Prognosis after transient monocular blindness associated with carotid-artery stenosis" 345 : 1084-1090, 2001

      10 Feltgen N, "Multicenter study of the European Assessment Group for Lysis in the Eye (EAGLE) for the treatment of central retinal artery occlusion: design issues and implications. EAGLE Study report no. 1: EAGLE Study report no. 1" 244 : 950-956, 2006

      1 Rumelt S, "Update on treatment of retinal arterial occlusions" 14 : 139-141, 2003

      2 Biousse V, "Transient monocular visual loss" 140 : 717-721, 2005

      3 Biousse V, "Thrombolysis for central retinal artery occlusion" 27 : 215-230, 2007

      4 Plant GT, "Thrombolysis for central retinal artery occlusion" 76 : 160-161, 2005

      5 Streifler JY, "The risk of stroke in patients with firstever retinal vs hemispheric transient ischemic attacks and high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial" 52 : 246-249, 1995

      6 Butz B, "Selective intraarterial fibrinolysis of acute central retinal artery occlusion" 44 : 680-684, 2003

      7 Hayreh SS, "Retinal arterial occlusion with LIF using rTPA" 106 : 1236-1239, 1999

      8 Schmidt DP, "Prognosis of central retinal artery occlusion: local intraarterial fibrinolysis versus conservative treatment" 23 : 1301-1307, 2002

      9 Benavente O, "Prognosis after transient monocular blindness associated with carotid-artery stenosis" 345 : 1084-1090, 2001

      10 Feltgen N, "Multicenter study of the European Assessment Group for Lysis in the Eye (EAGLE) for the treatment of central retinal artery occlusion: design issues and implications. EAGLE Study report no. 1: EAGLE Study report no. 1" 244 : 950-956, 2006

      11 Beatty S, "Local intra-arterial fibrinolysis for acute occlusion of the central retinal artery: a meta-analysis of the published data" 84 : 914-916, 2000

      12 Kattah JC, "Intravenous recombinant tissue-type plasminogen activator thrombolysis in treatment of central retinal artery occlusion" 120 : 1234-1236, 2002

      13 Noble J, "Intra-arterial thrombolysis for central retinal artery occlusion: a systematic review" 92 : 588-593, 2008

      14 Schumacher M, "Intra-arterial fibrinolytic therapy in central retinal artery occlusion" 35 : 600-605, 1993

      15 Mueller AJ, "Evaluation of minimally invasive therapies and rationale for a prospective randomized trial to evaluate selective intra-arterial lysis for clinically complete central retinal artery occlusion" 121 : 1377-1381, 2003

      16 Atebara NH, "Efficacy of anterior chamber paracentesis and Carbogen in treating acute nonarteritic central retinal artery occlusion" 102 : 2029-2034, 1995

      17 Arnold M, "Comparison of intra-arterial thrombolysis with conventional treatment in patients with acute central retinal artery occlusion" 76 : 196-199, 2005

      18 Hayreh SS, "Central retinal artery occlusion: visual outcome" 140 : 376-391, 2005

      19 Framme C, "Central retinal artery occlusion. Importance of selective intra-arterial fibrinolysis" 98 : 725-730, 2001

      20 Rumelt S, "Aggressive systematic treatment for central retinal artery occlusion" 128 : 733-738, 1999

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2005-01-01 평가 SCI 등재 (등재유지) KCI등재
      2002-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1999-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.48 0.37 1.06
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.85 0.75 0.691 0.11
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