Peripheral embolization following thrombolytic therapy for acute ischemic stroke—a case report
roushdy, tamer; Hamid, Eman; Fathy, Mai; Bastawy, Islam; Aref, Hany; El Nahas, Nevine;
Abstract
Background: 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.
Case presentation: 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.
Conclusion: Peripheral embolization may happen within hours from intravenous recombinant tissue plasminogen
activator administration.
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 presentation: 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.
Conclusion: Peripheral embolization may happen within hours from intravenous recombinant tissue plasminogen
activator administration.
Other data
| Title | Peripheral embolization following thrombolytic therapy for acute ischemic stroke—a case report | Authors | roushdy, tamer ; Hamid, Eman; Fathy, Mai; Bastawy, Islam; Aref, Hany ; El Nahas, Nevine | Keywords | Thrombolytic therapy;Acute stroke;Peripheral embolization,;Intra-cardiac thrombus | Issue Date | 8-Oct-2020 | Publisher | Springer Open | Journal | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Volume | 56 | Issue | 99 | ISSN | 1687-8329 | DOI | 10.1186/s41983-020-00231-x | Scopus ID | 2-s2.0-85092194698 | Web of science ID | WOS:000576168900001 |
Attached Files
| File | Description | Size | Format | |
|---|---|---|---|---|
| Peripheral embolization following.pdf | 1.19 MB | Unknown | View/Open |
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