Acute Revascularization Therapy in Pregnant Patients

被引：6

作者：

Hirano, Teruyuki ^{[1
]}

机构：

[1] Oita Univ, Fac Med, Dept Neurol, Yufu, Oita 8795593, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2013年 / 53卷 / 08期

关键词：

pregnancy; acute ischemic stroke; recombinant tissue type plasminogen activator; revascularization therapy; TISSUE-PLASMINOGEN-ACTIVATOR; MASSIVE PULMONARY-EMBOLISM; MITRAL-VALVE PROSTHESIS; ACUTE ISCHEMIC-STROKE; INTRAVENOUS THROMBOLYSIS; RT-PA; WOMAN; GUIDELINES; WOMEN; ANTICOAGULATION;

D O I：

10.2176/nmc.53.531

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Ischemic stroke is uncommon during pregnancy, but decision making for acute revascularization therapy including intravenous recombinant tissue plasminogen activator (rt-PA) is difficult. The use of rt-PA remains controversial, but a systematic review of 16 patients (mean age 31.7 years) showed good results for both maternal (77.8%) and fetal (56.3%) outcomes. Pregnancy alone is not a solid contraindication for acute revascularization therapy including rt-PA. An endovascular approach might be beneficial for reducing the hemorrhagic complication; however, the treatment strategy should be considered based on the available treatment facility. Close cooperation with obstetrics is essential for the successful management of saving the lives of both the mother and the fetus.

引用

页码：531 / 536

页数：6

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