Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?

Neurological Research and Practice

Letter to the Editor

Nikolaos Aggelousis¹  Evlampia A. Psatha²  Ioannis Iliopoulos²  Dimitrios Tsiptsios²  Dimos Tsalkidis²  Konstantinos Vadikolias²  Sofia Kitmeridou² 

[1] Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece;Neurology Department, Democritus University of Thrace, Alexandroupolis, Greece;

关键词: Stroke;    Intravenous thrombolysis;    Left ventricular thrombus;   

DOI  :  10.1186/s42466-022-00227-3

 received in 2022-10-13, accepted in 2022-12-06,  发布年份 2022

来源: Springer

【 摘 要 】

Safety and efficacy data on intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) in case of known left ventricular thrombus (LVT) are lacking. We present the case of a 35-year-old male with disabling AIS and known LVT that was treated successfully with intravenous alteplase. Apart from neurological improvement, post-procedural full thrombus lysis was also evident. Even though performing IVT in similar instances constitutes a difficult decision for physicians, it may be reasonable in the context of acute disabling stroke.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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