Management of recurrent cerebral arterial occlusion in a patient with cardiac decompensation.
We describe a woman with congestive heart failure who presented with acute cardiac decompensation followed by ischemic stroke. The management of the patient posed unique challenges for thrombolytic treatment (due to existing coagulopathy) and subsequent optimization of hemodynamic status. Issues related to rethrombosis and use of platelet glycoprotein IIB/IIIA inhibitors are also discussed.
AlKawi
Ammar
A
Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey (UMDNJ), 90 Bergen Street, DOC - 8100, Newark, NJ 07103, USA. ammarkawi@hotmail.com
Kirmani
Jawad F
JF
Nazli
Janjua N
JN
Ezzeddine
Mustapha A
MA
Hanley
Daniel F
DF
Qureshi
Adnan I
AI
D017130:Angioplasty; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006333:Heart Failure / Q000150:complications* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors; D012008:Recurrence; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000379:methods
D005343:Fibrinolytic Agents; D019039:Platelet Glycoprotein GPIIb-IIIa Complex