title: [Pulmonary embolism and intracranial hemorrhage: is there still an indication for a caval filter placement?].
abstract: The treatment of pulmonary embolism is mainly based on anticoagulants and intravenous thrombolysis in case of collapse. The cerebral hemorrhage is the main complication of thrombolysis and contraindicates anticoagulation. We report the case of a patient with a subdural and intraparenchymal hematoma complicating intravenous thrombolysis. The patient had persistent respiratory and hemodynamic instability related to the pursuit of embolic phenomena. The implementation of a cava filter was performed and the patient had a favorable outcome.
authors: Service d'anesthésie-réanimation 1, CHU Timone-Adultes, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. lionel.pellegrini@ap-hm.fr
authors: L
authors: L
authors: Pellegrini
authors: P-Y
authors: PY
authors: Cordier
authors: G
authors: G
authors: Lerussi
authors: L
authors: L
authors: Velly
authors: N
authors: N
authors: Bruder
mesh_terms: D019299:Decompression, Surgical; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging / Q000628:therapy; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D020300:Intracranial Hemorrhages / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters