Use of recombinant factor VIIa in symptomatic intracerebral hemorrhage following intravenous thrombolysis

Clinics and Practice

Ayesha Sherzai¹  Sachin Agarwal¹  Shadi Yaghi¹  Randolph S. Marshall¹  Aya Haggiagi¹ 

[1] Department of Neurology, Columbia University Medical Center, New York, NY;

关键词: Intracerebral hemorrhage;    ischemic stroke;    thrombolysis;    factor VIIa;    outcome;    expansion.;   

DOI  :  10.4081/cp.2015.756

来源: DOAJ

【 摘 要 】

Symptomatic intracerebral hemorrhage (sICH) occurs in up to 7% of stroke patients treated with thrombolytic therapy. There are limited data on the effectiveness of the reversal agents used for intravenous tissue plasminogen activator related intracranial bleeds. We report a patient with sICH following intravenous thrombolysis whose intracerebral hemorrhage continued to expand despite treatment with platelets and cryoprecipitate, needing recombinant factor VIIa use for stabilization before surgical evacuation. Factor VIIa along with routine reversal agents following intravenous thrombolysis related sICH may further enhance clot stability and reduce the risk of hematoma expansion. It could be a bridge to definitive surgical management in those patients.

【 授权许可】

Unknown