title: Intra-arterial pulmonary thrombolysis at the postoperative period of brain aneurysm clamping: case report.
abstract: 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.
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Salomón Soriano Ordinola
authors.initials: SS
authors.lastname: Rojas
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Viviane Cordeiro
authors.initials: VC
authors.lastname: Veiga
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Júlio César de
authors.initials: JC
authors.lastname: Carvalho
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Luis Enrique Amaya
authors.initials: LE
authors.lastname: Campodônico
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Fabrizio Rodrigues
authors.initials: FR
authors.lastname: Assis
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Sandra Patrícia
authors.initials: SP
authors.lastname: Shimizu
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Elaine Aparecida
authors.initials: EA
authors.lastname: Morais
authors.affiliation: Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Roberto
authors.initials: R
authors.lastname: Buesio
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Andréia Maria
authors.initials: AM
authors.lastname: Marchesini
authors.affiliation: Unidades de Terapia Intensiva Neurológica, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Ligia Maria Coscrato
authors.initials: LM
authors.lastname: Junqueira
authors.affiliation: Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil.
authors.forename: Carlos Vanderlei
authors.initials: CV
authors.lastname: Holanda