Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke
Intravenous thrombolysis (IVT) is an accepted therapy in patients with acute ischemic stroke presenting within 3-4.5 hours of symptom onset. Selection of the patient for thrombolysis depends on the careful assessment for the risk of post thrombolysis symptomatic haemorrhage (6.2-8.9%) which may be f...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Annals of Indian Academy of Neurology |
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Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=4;spage=455;epage=458;aulast=Kulkarni |
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author | Girish Baburao Kulkarni Ravi Yadav Veerendrakumar Mustare Sailesh Modi |
author_facet | Girish Baburao Kulkarni Ravi Yadav Veerendrakumar Mustare Sailesh Modi |
author_sort | Girish Baburao Kulkarni |
collection | DOAJ |
description | Intravenous thrombolysis (IVT) is an accepted therapy in patients with acute ischemic stroke presenting within 3-4.5 hours of symptom onset. Selection of the patient for thrombolysis depends on the careful assessment for the risk of post thrombolysis symptomatic haemorrhage (6.2-8.9%) which may be fatal. Atrial myxomas which are the commonest tumors of the heart are associated with stroke due to tumor/clot embolism. There are very few case reports of IVT and its outcome in patients with atrial myxoma with stroke. Some have reported successful thrombolysis, while others have reported intracerebral bleeding. In this report we describe our experience of IVT in atrial myxoma patient with ischemic stroke and review the relevant literature. |
first_indexed | 2024-12-23T05:13:22Z |
format | Article |
id | doaj.art-0fd026bc9b084b4a9950c196bbc0eaff |
institution | Directory Open Access Journal |
issn | 0972-2327 1998-3549 |
language | English |
last_indexed | 2024-12-23T05:13:22Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Indian Academy of Neurology |
spelling | doaj.art-0fd026bc9b084b4a9950c196bbc0eaff2022-12-21T17:58:54ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492014-01-0117445545810.4103/0972-2327.144038Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic strokeGirish Baburao KulkarniRavi YadavVeerendrakumar MustareSailesh ModiIntravenous thrombolysis (IVT) is an accepted therapy in patients with acute ischemic stroke presenting within 3-4.5 hours of symptom onset. Selection of the patient for thrombolysis depends on the careful assessment for the risk of post thrombolysis symptomatic haemorrhage (6.2-8.9%) which may be fatal. Atrial myxomas which are the commonest tumors of the heart are associated with stroke due to tumor/clot embolism. There are very few case reports of IVT and its outcome in patients with atrial myxoma with stroke. Some have reported successful thrombolysis, while others have reported intracerebral bleeding. In this report we describe our experience of IVT in atrial myxoma patient with ischemic stroke and review the relevant literature.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=4;spage=455;epage=458;aulast=KulkarniCerebral hemorrhageintravenous thrombolysisleft atrial myxomarecombinant tissue plasminogen activator |
spellingShingle | Girish Baburao Kulkarni Ravi Yadav Veerendrakumar Mustare Sailesh Modi Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke Annals of Indian Academy of Neurology Cerebral hemorrhage intravenous thrombolysis left atrial myxoma recombinant tissue plasminogen activator |
title | Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
title_full | Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
title_fullStr | Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
title_full_unstemmed | Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
title_short | Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
title_sort | intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke |
topic | Cerebral hemorrhage intravenous thrombolysis left atrial myxoma recombinant tissue plasminogen activator |
url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=4;spage=455;epage=458;aulast=Kulkarni |
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