Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma
Stroke is a common cause of mortality and serious long-term disability worldwide. In the acute setting, current American Heart Association/American Stroke Association guidelines do not recommend routine anticoagulation for the management of acute ischemic strokes. However, short-term use of unfracti...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2021-06-01
|
| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/514090 |
| _version_ | 1819122407716159488 |
|---|---|
| author | Billie Hsieh Muhammad B. Tariq Lamya Ibrahim Shekhar D. Khanpara Larry A. Kramer Sean I. Savitz |
| author_facet | Billie Hsieh Muhammad B. Tariq Lamya Ibrahim Shekhar D. Khanpara Larry A. Kramer Sean I. Savitz |
| author_sort | Billie Hsieh |
| collection | DOAJ |
| description | Stroke is a common cause of mortality and serious long-term disability worldwide. In the acute setting, current American Heart Association/American Stroke Association guidelines do not recommend routine anticoagulation for the management of acute ischemic strokes. However, short-term use of unfractionated heparin (UFH) in select subpopulations has demonstrated improved outcomes. While tools such as CHADSVASC and HASBLED scores are useful in stratifying risk of long-term anticoagulation in patients with nonvalvular atrial fibrillation and additional risk factors, the carefully selected patient populations for the design of these studies do not account for risk of hemorrhage from other preexisting conditions. Here, we present a patient with a posterior circulation intraluminal thrombus treated with UFH, who manifested with a near-fatal intra-abdominal hemorrhage from a previously undetected renal angiomyolipoma (AML). |
| first_indexed | 2024-12-22T06:51:58Z |
| format | Article |
| id | doaj.art-02d80c88b3cf42a3ad328080c289486e |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-22T06:51:58Z |
| publishDate | 2021-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-02d80c88b3cf42a3ad328080c289486e2022-12-21T18:35:06ZengKarger PublishersCase Reports in Neurology1662-680X2021-06-0113238839310.1159/000514090514090Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal AngiomyolipomaBillie Hsieh0Muhammad B. Tariq1Lamya Ibrahim2Shekhar D. Khanpara3Larry A. Kramer4Sean I. Savitz5Institute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center, Houston, TX, USAInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center, Houston, TX, USAInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center, Houston, TX, USADepartment of Radiology, The University of Texas Health Science Center, Houston, TX, USADepartment of Radiology, The University of Texas Health Science Center, Houston, TX, USAInstitute for Stroke and Cerebrovascular Disease, The University of Texas Health Science Center, Houston, TX, USAStroke is a common cause of mortality and serious long-term disability worldwide. In the acute setting, current American Heart Association/American Stroke Association guidelines do not recommend routine anticoagulation for the management of acute ischemic strokes. However, short-term use of unfractionated heparin (UFH) in select subpopulations has demonstrated improved outcomes. While tools such as CHADSVASC and HASBLED scores are useful in stratifying risk of long-term anticoagulation in patients with nonvalvular atrial fibrillation and additional risk factors, the carefully selected patient populations for the design of these studies do not account for risk of hemorrhage from other preexisting conditions. Here, we present a patient with a posterior circulation intraluminal thrombus treated with UFH, who manifested with a near-fatal intra-abdominal hemorrhage from a previously undetected renal angiomyolipoma (AML).https://www.karger.com/Article/FullText/514090strokeischemicheparinatrial fibrillation arrhythmiahemorrhagetumor subject termsischemic strokeimagingblood pressureatrial fibrillationarrhythmias |
| spellingShingle | Billie Hsieh Muhammad B. Tariq Lamya Ibrahim Shekhar D. Khanpara Larry A. Kramer Sean I. Savitz Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma Case Reports in Neurology stroke ischemic heparin atrial fibrillation arrhythmia hemorrhage tumor subject terms ischemic stroke imaging blood pressure atrial fibrillation arrhythmias |
| title | Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma |
| title_full | Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma |
| title_fullStr | Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma |
| title_full_unstemmed | Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma |
| title_short | Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage from Occult Renal Angiomyolipoma |
| title_sort | heparin for vertebral intraluminal thrombus causing retroperitoneal hemorrhage from occult renal angiomyolipoma |
| topic | stroke ischemic heparin atrial fibrillation arrhythmia hemorrhage tumor subject terms ischemic stroke imaging blood pressure atrial fibrillation arrhythmias |
| url | https://www.karger.com/Article/FullText/514090 |
| work_keys_str_mv | AT billiehsieh heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma AT muhammadbtariq heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma AT lamyaibrahim heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma AT shekhardkhanpara heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma AT larryakramer heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma AT seanisavitz heparinforvertebralintraluminalthrombuscausingretroperitonealhemorrhagefromoccultrenalangiomyolipoma |