Off-label intravenous thrombolysis for early recurrent brain embolism associated with aortic arch thrombus

被引：0
作者：
Ioanna Koutroulou
Georgios Tsivgoulis
Vasileios Rafailidis
Elissavet Psoma
Konstantinos Kouskouras
Panagiotis Fotiadis
Nikolaos Grigoriadis
Theodoros Karapanayiotides
机构：
[1] Aristotle University of Thessaloniki,Second Department of Neurology
[2] School of Medicine,Second Department of Neurology
[3] Faculty of Health Sciences,Department of Neurology
[4] AHEPA University Hospital,Department of Radiology
[5] National & Kapodistrian University of Athens,undefined
[6] “Attikon” University Hospital,undefined
[7] University of Tennessee Health Science Center,undefined
[8] Aristotle University of Thessaloniki,undefined
[9] School of Medicine,undefined
[10] Faculty of Health Sciences,undefined
[11] AHEPA University Hospital,undefined
来源：
Neurological Research and Practice | / 3卷
关键词：
Off-label thrombolysis; Aortic arch thrombus; Stroke; Brain embolism;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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