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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Main Authors: Girish Baburao Kulkarni, Ravi Yadav, Veerendrakumar Mustare, Sailesh Modi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
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.
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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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AT veerendrakumarmustare intravenousthrombolysisinapatientwithleftatrialmyxomawithacuteischemicstroke
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