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Updated: Jun 28, 2025

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Thrombolysis of incidental pulmonary embolism in a stroke patient
Patrick Silveira1, Justin McCloskey1, Mohammad Kassar1
1Department of Radiology, West Virginia University Hospital, 1 Medical Center Drive, PO Box 9235 Morgantown, WV, USA.
Abstract:
Both acute ischemic stroke (AIS) and pulmonary embolism (PE) are major causes of morbidity and mortality, with overlapping risk factors. Incidental or silent PE therefore may be discovered during an AIS work-up. Thrombolytic therapy is considered first-line therapy for eligible patients with AIS. We present the case of an 88-year-old man with an AIS, who was incidentally found to have a PE, and then received thrombolytic therapy leading to favorable outcomes in both conditions.
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