Use of tissue plasminogen activator in a stroke after radiofrequency ablation of a left-sided accessory pathway.
J Cardiovasc Electrophysiol
; 12(6): 723-5, 2001 Jun.
Article
en En
| MEDLINE
| ID: mdl-11405408
ABSTRACT
We describe the case of a 12-year-old girl who had a thromboembolic stroke after radiofrequency ablation of a left posterior accessory pathway involving a transseptal procedure. Symptoms of a stroke occurred 7 hours 15 minutes after completion of the procedure. Tissue plasminogen activator (tPA) was given 2 hours 30 minutes after the onset of symptoms, with complete resolution of her neurologic symptoms. No adverse effects from the tPA were seen. Because of the late onset of symptoms in this case, overnight in-hospital observation is warranted for patients who undergo radiofrequency ablation of a left-sided accessory pathway or an accessory pathway in a patient with the ability to shunt right to left. In this case, tPA was an effective and safe drug to use following a cerebral thromboembolic event occurring after a cardiac catheterization procedure.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Activadores Plasminogénicos
/
Activador de Tejido Plasminógeno
/
Ablación por Catéter
/
Accidente Cerebrovascular
Límite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
J Cardiovasc Electrophysiol
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
/
FISIOLOGIA
Año:
2001
Tipo del documento:
Article
País de afiliación:
Estados Unidos