Trombólise intra-arterial pulmonar no pós-operatório de clipagem de aneurisma cerebral: relato de caso
| Autor: | Fabrizio Rodrigues Assis, Viviane Cordeiro Veiga, Luis Enrique Amaya Campodonico, Ligia Maria Coscrato Junqueira, Júlio César de Carvalho, Sandra Patrícia Shimizu, Roberto Buesio, Elaine Aparecida Silva de Morais, Salomón Soriano Ordinola Rojas, Andréia Maria Marchesini, Carlos Vanderlei Holanda |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General Medicine Thrombolysis Critical Care and Intensive Care Medicine medicine.disease Surgery Pulmonary embolism Refractory Male patient Anesthesia medicine Neurosurgery business Complication Clinical treatment Hemodynamic instability |
| Zdroj: | Revista Brasileira de Terapia Intensiva. 20 |
| ISSN: | 0103-507X |
| DOI: | 10.1590/s0103-507x2008000300016 |
| Popis: | Pulmonary thromboembolism is a major cause of morbidity and mortality of patients undergoing neurosurgical procedures. The purpose of this study was to present a case of intra-arterial pulmonary thrombolysis in recent neurosurgery postoperative period. Male patient, undergoing neurosurgery, presented as a complication on the seventh day of postoperative massive pulmonary embolism with hemodynamic instability and intraarterial pulmonary thrombolysis with alteplase was indicated. Evolution was satisfactory without bleeding complications and patient was discharged. Pulmonary thromboembolism is a high morbidity and mortality condition at neurosurgical postoperative period and thrombolysis should be an alternative therapy in cases refractory to clinical treatment. |
| Databáze: | OpenAIRE |
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