Life-saving systemic thrombolysis in a patient with massive pulmonary embolism and a recent hemorrhagic cerebrovascular accident

Texas Heart Institute Journal

Volumn 41, Issue 2, 2014, Pages 174-176

  Bottinor, Wendy ^a   Turlington, Jeremy ^a   Raza, Syed ^c   Roberts, Charlotte S ^c   Malhotra, Rajiv ^b   Jovin, Ion S ^c,d   Abbate, Antonio ^c  

^a Department of Internal Medicine ^*  (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^c Pauley Heart Center   (United States)

^d HUNTER HOLMES MCGUIRE VA MEDICAL CENTER   (United States)

Author keywords

Evidencebased medicine; Heart arrest therapy; Practice guidelines as topic; Pulmonary embolism complications drug therapy; Risk assessment; Thrombolytic therapy methods; Tissue plasminogen activator contraindications therapeutic use; Treatment outcome

Indexed keywords

ADRENALIN; DOBUTAMINE; HEPARIN; NORADRENALIN; TISSUE PLASMINOGEN ACTIVATOR; VASOPRESSIN; WARFARIN; FIBRINOLYTIC AGENT;

ADULT; ANEMIA; ARTICLE; ARTIFICIAL VENTILATION; ATELECTASIS; ATRIOVENTRICULAR JUNCTION ARRHYTHMIA; BLEEDING; BLOOD CLOT LYSIS; BLURRED VISION; BRADYCARDIA; BRAIN HEMORRHAGE; BRAIN VENTRICLE DILATATION; CASE REPORT; CEREBROVASCULAR ACCIDENT; COMPUTER ASSISTED TOMOGRAPHY; DEEP VEIN THROMBOSIS; ELECTROCARDIOGRAPHY; FEMALE; FIBRINOLYTIC THERAPY; FOLLOW UP; HEART ARREST; HEART RIGHT BUNDLE BRANCH BLOCK; HEART RIGHT VENTRICLE FAILURE; HEART RIGHT VENTRICLE FUNCTION; HUMAN; HYPOTENSION; LETHARGY; LUNG EMBOLISM; MIDDLE AGED; PULMONARY HYPERTENSION; Q WAVE; REHABILITATION MEDICINE; RESUSCITATION; SUPRAVENTRICULAR TACHYCARDIA; SYSTOLIC DYSFUNCTION; THORAX RADIOGRAPHY; THROMBOEMBOLISM; TRANSTHORACIC ECHOCARDIOGRAPHY; TREATMENT CONTRAINDICATION; VENA CAVA FILTER; COMPLICATION; CONTRAINDICATIONS; ECHOCARDIOGRAPHY; PATHOPHYSIOLOGY; PRACTICE GUIDELINE; PROCEDURES; PULMONARY EMBOLISM; RISK ASSESSMENT; TREATMENT OUTCOME;

CEREBRAL HEMORRHAGE; ECHOCARDIOGRAPHY; FEMALE; FIBRINOLYTIC AGENTS; HEART ARREST; HUMANS; MIDDLE AGED; PRACTICE GUIDELINES AS TOPIC; PULMONARY EMBOLISM; RISK ASSESSMENT; STROKE; THROMBOLYTIC THERAPY; TISSUE PLASMINOGEN ACTIVATOR; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 84898908671     PISSN: 07302347     EISSN: 15266702     Source Type: Journal    
DOI: 10.14503/THIJ-12-3010     Document Type: Article

References (11)

1. Jerjes-Sanchez C, Ramirez-Rivera A, de Lourdes Garcia M, Arriaga-Nava R, Valencia S, Rosado-Buzzo A, et al. Streptokinase and heparin versus heparin alone in massive pulmonary embolism: a randomized controlled trial. J Thromb Thrombolysis 1995;2(3):227-9.
2. Meneveau N. Therapy for acute high-risk pulmonary embolism: thrombolytic therapy and embolectomy. Curr Opin Cardiol 2010;25(6):560-7.
3. Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber SZ, et al. Antithrombotic therapy for VTE disease: Antithrombotic therapy and prevention of thrombosis, 9th ed.: American College of Chest Physicians evidence-based clinical practice guidelines [published erratum appears in Chest 2012;142(6):1698-704]. Chest 2012;141(2 Suppl):e419S-94S.
4. Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galie N, Pruszczyk P, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J 2008;29(18):2276-315.
5. Harvey RL. Prevention of venous thromboembolism after stroke. Top Stroke Rehabil 2003;10(3):61-9.
6. Imberti D, Maraldi C, Gallerani M. Interventional approaches in VTE treatment (vena cava filters, catheter-guided thrombolysis, thrombosuction). Semin Respir Crit Care Med 2012; 33(2):176-85.
7. Lin PH, Chen H, Bechara CF, Kougias P. Endovascular interventions for acute pulmonary embolism. Perspect Vasc Surg Endovasc Ther 2010;22(3):171-82.
8. Koroneos A, Koutsoukou A, Zervakis D, Politis P, Sourlas S, Pagoni E, Roussos C. Successful resuscitation with thrombolysis of a patient suffering fulminant pulmonary embolism after recent intracerebral haemorrhage. Resuscitation 2007;72 (1):154-7.
9. Cable DG, Cherry KJ. Systemic thrombolytic therapy after recent abdominal aortic aneurysm repair: an absolute contraindication? Mayo Clin Proc 2003;78(1):99-102.
10. Han S, Chaya C, Hoo GW. Thrombolytic therapy for massive pulmonary embolism in a patient with a known intracranial tumor. J Intensive Care Med 2006;21(4):240-5.
11. Allport LE, Butcher KS. Thrombolysis for concomitant acute stroke and pulmonary embolism. J Clin Neurosci 2008;15 (8):917-20.