Thrombolysis for concomitant acute stroke and pulmonary embolism.
We report our management of a patient presenting with concomitant cortical stroke and pulmonary embolism. Stroke symptoms and respiratory distress were present for 2 h at the time of initial assessment. The patient was treated with intravenous tissue plasminogen activator (tPA). Intravenous unfractionated heparin was given 24 h after treatment with tPA. The patient's neurological and respiratory status both improved following thrombolysis. The treatment options and potential dilemmas are discussed.
Allport
Louise E
LE
The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Butcher
Ken S
KS
D005260:Female; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications* / Q000188:drug therapy* / Q000473:pathology; D020521:Stroke / Q000150:complications* / Q000188:drug therapy* / Q000473:pathology; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D010959:Tissue Plasminogen Activator