Τίτλος:
Off-label intravenous thrombolysis for early recurrent brain embolism associated with aortic arch thrombus.
Περίληψη:
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.
Συγγραφείς:
Koutroulou, Ioanna
Tsivgoulis, Georgios
Rafailidis, Vasileios
Psoma, Elissavet
Kouskouras, Konstantinos
Fotiadis, Panagiotis
Grigoriadis, Nikolaos
Karapanayiotides, Theodoros
Περιοδικό:
Neurological research and practice
Λέξεις-κλειδιά:
Aortic arch thrombus, Brain embolism, Off-label thrombolysis, Stroke
DOI:
10.1186/s42466-021-00103-6
