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Updated: Aug 16, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?
Sofia Kitmeridou1, Dimitrios Tsiptsios2, Dimos Tsalkidis1
1Neurology Department, Democritus University of Thrace, Alexandroupolis, Greece.
Abstract:
Safety and efficacy data on intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) in case of known left ventricular thrombus (LVT) are lacking. We present the case of a 35-year-old male with disabling AIS and known LVT that was treated successfully with intravenous alteplase. Apart from neurological improvement, post-procedural full thrombus lysis was also evident. Even though performing IVT in similar instances constitutes a difficult decision for physicians, it may be reasonable in the context of acute disabling stroke.
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