title: Successful rescue thrombolysis in massive pulmonary embolism with intracerebral hemorrhage.
abstract: We report the case of a man with a massive pulmonary embolism, which lead to cardiac arrest. After ruptured aneurysm clipping, he was successfully treated by rescue thrombolysis administered as compassionate treatment despite the risk of cerebral bleeding. The patient was discharged from the intensive care unit; his initial neurological, cardiac, and pulmonary conditions restored. In case of life-threatening pulmonary embolism, the risk-benefit ratio of thrombolysis therapy should be systematically evaluated and the decision adapted to each patient.
authors.affiliation: From the Departments of *Intensive Care Unit (DAR C) and †Neurosurgery, Gui de Chauliac Hospital, University Hospital of Montpellier, Montpellier cedex, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: De Jong
authors.forename: Alain
authors.initials: A
authors.lastname: Boularan
authors.forename: Frédéric
authors.initials: F
authors.lastname: Greco
authors.forename: Kifah
authors.initials: K
authors.lastname: Khouri
authors.forename: Pierre-François
authors.initials: PF
authors.lastname: Perrigault