Late Thrombolytic Treatment In A Patient With Ischemic Stroke Caused By Biatrial Thrombus

Halit CINARKA, Mevlut KARATAS, Songul OZYURT, Aziz GUMUS, Unal Sahin, Servet KAYHAN

Abstract


Venous thromboembolism is a preventable disease when necessary precautions are taken and it occurs along with deep vein thrombosis and pulmonary embolism. Mortality related to venous thromboembolism may be high in the acute phase of the disease and it may become chronic. Intracardiac thrombus may be detected in some venous thromboemboli cases. Cardiac embolism is responsible for most of the ischemic strokes which can be very mortal or may cause serious morbidity when they are not treated in time. In this report, we aimed to present the results of late antithrombolytic treatment in a 77-year old patient who developed deep vein thrombosis, biatrial thrombosis and ischemic stroke following hydrocephalus shunt operation.

 

Key words: Venous thromboembolism; ischemic stroke; thrombolytic therapy


Full Text:

PDF

References


Turkish Thoracic Society, Diagnosis and treatment guide of pulmonary thromboembolism 2009

Cohen AT, Agnelli G, Anderson FA, Arcelus JI, Bergqvist D, Brecht JG, et al. Venous thromboembolism (VTE) in Europe: The number of VTE events and associated morbidity and mortality. Thromb Haemost 2007;98(4):756-764.

Asinger RW, Dyken ML, Fisher M. Cardiogenic brain embolism: The second report of the cerebral embolism task force. Arch Neurol 1989;46:727–743.

Sila CA. Cardioembolic stroke. In: Noseworthy JH, ed. Neurological therapeutics: principles and practice. New York: Martin Dunitz; 2003:450–457.

Ferro JM. Cardioembolic stroke: an update. Lancet Neurol 2003;2:177–188.

William David Freeman & Maria I. Aguilar. Prevention of cardioembolic stroke. Neurotherapeutics 2011;8:488–502.

Lansberg MG, O'Donnell MJ, Khatri P, Lang ES, Nguyen-Huynh MN, Schwartz NE, et al. Antithrombotic and thrombolytic therapy for ischemic stroke: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. American College of Chest Physicians. Chest. 2012 Feb;141(2 Suppl):e601S-36S. doi: 10.1378/chest.11-2302.

Derex L, Nighoghossian N, Perinetti M, Honnorat J, Trouillas P. Thrombolytic therapy in acute ischemic stroke patients with cardiac thrombus. Neurology 2004;57:2122-5.


Refbacks

  • There are currently no refbacks.


Bookmark and Share


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine