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

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

article

Roushdy, Tamer¹  Hamid, Eman¹  Fathy, Mai¹  Bastawy, Islam²  Aref, Hany¹  El Nahas, Nevine¹ 

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

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

DOI  :  10.1186/s41983-020-00231-x

学科分类：医学（综合）

来源: Springer

【 摘 要 】

Intravenous 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. A 78-year-old male presenting with acute onset of stroke, received intravenous recombinant tissue plasminogen activator, 16 h later he developed acute limb ischemia. Peripheral embolization may happen within hours from intravenous recombinant tissue plasminogen activator administration.

【 授权许可】

CC BY