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Massive Pulmonary Embolus Following a Hemorrhagic Stroke: A Thrombolysis Therapy Dilemma
被引:0
|作者:
Akanmode, Olayemi J.
[1
]
Akanmode, Abiodun M.
[2
]
Olusoji, Rahman A.
[2
]
Osanoto, Akolade S.
[3
]
机构:
[1] Kings Coll Hosp NHS Fdn Trust, Hyperacute Stroke Unit, Internal Med, London, England
[2] Columbia Univ, Harlem Hosp Ctr, Internal Med, Coll Physicians & Surg, New York, NY 10027 USA
[3] Windsor Univ, Sch Med, Basseterre, St Kitts & Nevi
关键词:
hemorrhagic stroke;
pulmonary embolus;
pulmonary embolism;
neurosurgery;
medical icu;
pulmonary embolism (pe);
systemic thrombolysis;
stroke;
PATIENT;
D O I:
10.7759/cureus.37816
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Pulmonary embolism varies in presentation with factors such as embolus size and pre-existing comorbidities contributing significantly. Despite the availability of several options to treat pulmonary embolism, these options significantly decrease when a massive pulmonary embolism causes a cardiac arrest in the setting of a recent hemorrhage thalamic stroke. We reviewed the current literature and presented a case report. In addition, we presented seven cases of pulmonary embolus where thrombolysis was used despite an absolute contraindication to thrombolysis, and the patients had successful outcomes.
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