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Updated: Aug 14, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Thrombolytic therapy in acute pulmonary embolism due to heparin-induced thrombocytopenia type II
Azza A Alafify1, Tarig S Al-Khuwaitir, Abdurahman M Al-Mugheiri
1Department of Cardiology, Riyadh Medical Complex, Ministry of Health, Kingdom of Saudi Arabia. alafifiazza@hotmail.com
Abstract:
Hospitalized patients are in danger of deep venous thrombosis either due to a genetic tendency, immobilization or the underlying medical condition. Paradoxically heparin, the substance used to prevent this complication, can lead to thrombo-embolic phenomena, which can be life threatening. We report a case of heparin-induced thrombocytopenia, which caused a massive pulmonary embolism, and its management by administering a thrombolytic agent in a situation where bleeding seems inevitable.
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