TY - JOUR
TI - Off-label intravenous thrombolysis for early recurrent brain embolism associated with aortic arch thrombus.
AU - Koutroulou, Ioanna
AU - Tsivgoulis, Georgios
AU - Rafailidis, Vasileios
AU - Psoma, Elissavet
AU - Kouskouras, Konstantinos
AU - Fotiadis, Panagiotis
AU - Grigoriadis, Nikolaos
AU - Karapanayiotides, Theodoros
JO - Neurological research and practice
PY - 2021
VL - 3
TODO - 1
SP - 4
PB - 
SN - null
TODO - 10.1186/s42466-021-00103-6
TODO - Aortic arch thrombus, Brain embolism, Off-label thrombolysis, Stroke
TODO - Safety data of intravenous thrombolysis (IVT) in presence of aortic arch thrombus is scant. Furthermore, IVT is debatable in patients with prior recent stroke. We  present a 51-year-old woman with recurrent major infarction 5 days after a minor  left MCA territory stroke. She had a floating aortic arch thrombus and she was  treated safely and effectively with off-label IVT. Patients with small infarct  volumes and mild/no residual neurological deficits after an initial stroke might be  considered for IVT in case of early recurrence. IVT may be reasonable in a context  of acute severely disabling stroke associated with aortic arch thrombus.
ER -