TY - JOUR
TI - Successful resuscitation with thrombolysis of a patient suffering
fulminant pulmonary embolism after recent intracerebral haemorrhage
AU - Koroneos, Apostolos
AU - Koutsoukou, Antonia
AU - Zervakis, Dimitrios and
AU - Politis, Panagiotis
AU - Sourlas, Sotiris
AU - Pagoni, Eleni
AU - Roussos,
AU - Chairis
JO - Resuscitation
PY - 2007
VL - 72
TODO - 1
SP - 154-157
PB - Elsevier Ireland Ltd
SN - 0300-9572
TODO - 10.1016/j.resuscitation.2006.06.019
TODO - intracerebral haemorrhage; electromechanical dissociation (EMD);
pulmonary embolism; thrombolysis; transoesophageal echocardiography
TODO - We report the life-saving administration of thrombolysis during
cardiopulmonary resuscitation in a patient with recent intracerebral
haemorrhage. A 53-year-old mate with intracerebral. haemorrhage was
admitted to the intensive care unit. On the 24th day of treatment he
suffered cardiac arrest with pulseless electrical activity.
Transoesophageal echocardiography was performed during ongoing
cardiopulmonary resuscitation. Thrombi in the right heart cavities with
excessive right ventricular dysfunction confirmed the diagnosis of
fulminant pulmonary embolism. Permanent restoration of a spontaneous
rhythm was feasible only after administration of systemic thrombolysis
with recombinant tissue plasminogen activator. Neurological examination
and a computed tomogram of the brain did not show rebleeding.
We conclude that under extreme circumstances absolute contraindications
to thrombolysis should be weighed against the potential benefit. (c)
2006 Elsevier Ireland Ltd. All rights reserved.
ER -