Coronary aspiration thrombectomy after using intravenous recombinant tissue plasminogen activator in a patient with acute ischemic stroke: a case report
| Autor: | Trung Le Hong, Huy Nguyen Van, Ton Mai Duy, Phuong DaoViet, Dung Nguyen Tien, Dat Anh Nguyen, Quang-Anh Nguyen, Dinh-Toi Chu, Nguyen Vu Thai Lien, Viet Anh Hoang, Vu Thi Nga, Thien Nguyen Tat, Chi Nguyen Van |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Medicine (General) acute ischemic stroke coronary artery Aspiration Thrombectomy Case Reports Coronary Angiography Biochemistry Brain Ischemia Electrocardiography R5-920 Internal medicine Medicine Humans In patient Myocardial infarction cardiovascular diseases Recombinant tissue plasminogen activator Acute ischemic stroke Aged Thrombectomy business.industry Biochemistry (medical) Cell Biology General Medicine medicine.disease Recombinant Proteins Stroke aspiration thrombectomy thrombus Tissue Plasminogen Activator recombinant tissue plasminogen activator Cardiology Administration Intravenous business Complication |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 47 (2019) |
| ISSN: | 1473-2300 |
| Popis: | The complication of myocardial infarction after using intravenous recombinant tissue plasminogen activator (rt-PA) in patients with acute ischemic stroke is rare. Several of these cases have been reported in the first 3 hours after infusion of rt-PA. There is controversy on how to manage treatment of the coronary artery, such as intravenous anticoagulants and antiplatelets, at the same time. We introduce a new strategy for treatment of a patient who had ischemic stroke and developed myocardial infarction after intravenous rt-PA therapy. Our case had coronary and cerebral intervention in combination with low-dose intravenous rt-PA. He was successfully treated for coronary occlusion with aspiration thrombectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|