Decision-making in a patient with cardiac arrest due to venous thromboembolism within 24 h after glioblastoma resection.
Daniel DubinskiS-Y WonM BruderM-T ForsterV SeifertC SenftJ BerkefeldJ MersmannPublished in: Acta neurochirurgica (2016)
In the fulminant VTE form with cardiac arrest, systemic thrombolysis remains the most effective therapy. However, several contraindications restrict the use such as intracranial neoplasm or a recent history of intracranial surgery. Here, we report the case of a 59-year-old man who underwent glioblastoma resection and suffered from a fulminant pulmonary embolism with cardiac arrest. After CPR, continuous tPA infusion via an endovascularly placed pulmonary catheter was maintained over a period of 8 h. In this case, we report on our decision-making process and the use of local thrombolysis as a successful therapy in a patient with multiple contraindications.
Keyphrases
- cardiac arrest
- pulmonary embolism
- venous thromboembolism
- cardiopulmonary resuscitation
- inferior vena cava
- decision making
- case report
- direct oral anticoagulants
- minimally invasive
- pulmonary hypertension
- coronary artery bypass
- stem cells
- acute ischemic stroke
- coronary artery disease
- high grade
- percutaneous coronary intervention
- ultrasound guided
- optical coherence tomography