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Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Massive Pulmonary Embolus Following a Hemorrhagic Stroke: A Thrombolysis Therapy Dilemma
Olayemi J Akanmode1, Abiodun M Akanmode2, Rahman A Olusoji2
1Hyperacute Stroke Unit, Internal Medicine, King's College Hospital NHS Foundation Trust, London, GBR.
Abstract:
Pulmonary embolism varies in presentation with factors such as embolus size and pre-existing comorbidities contributing significantly. Despite the availability of several options to treat pulmonary embolism, these options significantly decrease when a massive pulmonary embolism causes a cardiac arrest in the setting of a recent hemorrhage thalamic stroke. We reviewed the current literature and presented a case report. In addition, we presented seven cases of pulmonary embolus where thrombolysis was used despite an absolute contraindication to thrombolysis, and the patients had successful outcomes.
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