Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 127-132, 2017.
Article
in English
| WPRIM
| ID: wpr-149273
ABSTRACT
Use of recombinant tissue plasminogen activator (rt-PA) for the treatment of acute cerebral infarction secondary to aortic dissection is challenging because of a narrow time window and potential life-threatening complications. An 80-year-old woman with right middle cerebral artery infarction was treated with rt-PA. Although she had no history, symptoms, or sign of aortic dissection, carotid CT angiography revealed aortic arch dissection. Mediastinal widening, which did not show on initial chest X-ray, developed on follow-up chest X-ray. This observation indicates that physicians should monitor patient symptoms for signs of aortic dissection during thrombolysis and perform chest X-ray or carotid angiography immediately after thrombolysis even if the patient has no symptoms or signs of aortic dissection on onset of acute cerebral infarction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta, Thoracic
/
Thorax
/
Angiography
/
Thrombolytic Therapy
/
Cerebral Infarction
/
Follow-Up Studies
/
Tissue Plasminogen Activator
/
Infarction, Middle Cerebral Artery
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
Kosin Medical Journal
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS