Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?
Sofia KitmeridouDimitrios TsiptsiosDimos TsalkidisEvlampia A PsathaIoannis IliopoulosNikolaos AggelousisKonstantinos VadikoliasPublished in: Neurological research and practice (2022)
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.
Keyphrases
- acute ischemic stroke
- left ventricular
- high dose
- heart failure
- primary care
- acute myocardial infarction
- liver failure
- hypertrophic cardiomyopathy
- cardiac resynchronization therapy
- aortic stenosis
- mitral valve
- left atrial
- respiratory failure
- low dose
- machine learning
- decision making
- newly diagnosed
- transcatheter aortic valve replacement