Peripheral embolization following thrombolytic therapy for acute ischemic stroke—a case report

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Islam Bastawy¹  Tamer Roushdy²  Eman Hamid²  Hany Aref²  Mai Fathy²  Nevine El Nahas² 

[1] Cardiology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt;Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt;

关键词: Thrombolytic therapy;    Acute stroke;    Peripheral embolization;    Intra-cardiac thrombus;   

DOI  :  10.1186/s41983-020-00231-x

来源: Springer

【 摘 要 】

BackgroundIntravenous recombinant tissue plasminogen activator is the only golden approved medical therapy for acute ischemic stroke, guidelines for its injection relay on reducing or preventing associated hemorrhage as a side effect, yet hemorrhage is not the only possible complication, further embolization following injection is also a possibility; in this case report, peripheral embolization following intravenous recombinant tissue plasminogen activator with two possible explanations one related to the treatment and another related to the patient liability is represented.Case presentationA 78-year-old male presenting with acute onset of stroke, received intravenous recombinant tissue plasminogen activator, 16 h later he developed acute limb ischemia.ConclusionPeripheral embolization may happen within hours from intravenous recombinant tissue plasminogen activator administration.

【 授权许可】

CC BY