High-risk pulmonary thromboembolism in patients with acute cerebral ischemia: case report case report
Tromboembolismo pulmonar de alto riesgo e isquemia cerebral aguda: presentación de caso
How to Cite
Download Citation
Show authors biography
Most read articles by the same author(s)
- Francisco Oscar Rosero Olarte, Viviana Pahola Rueda Rojas, Juan Manuel Ospina Diaz, Reduced bone mass and hypovitaminosis D in postmenopausal women: exploratory study in Villavicencio, Colombia, 2012-2013 , Archivos de Medicina (Manizales): Vol. 15 No. 1
Summary
The presence of high risk pulmonary thromboembolism in a patient with an acute cerebral ischemic event, although infrequent, poses a high risk of morbimortality and a challenge in its handling. The Thrombolysis as a first treatment is contraindicated given the risk of high intracranial bleeding. For this reason, it is important to propose alternative reperfusion treatments. We present the case of a 45 years old patient with a clinical picture of a six months follow up of headaches that was diagnosed with an aneurism of the cavernous segment of the internal left carotid artery, subjected to embolization and presenting migration of multiple thrombi from stent proximal end, with failed thrombolysis and the development of ipsilateral hemispheric ischemia; who later presents high risk pulmonary thromboembolism, handled through thromboaspiration and selective pharmacological thrombolysis guided by a catheter and the implementation of a filter in the inferior vena cava. The selective pharmacological thrombolysis guided by catheter makes up the strategy of reperfusion with the best risk/benefit rate in the context of acute cerebral ischemia and high risk pulmonary thromboembolism. Likewise, it is possible to use other treatments to lower the risk of recurrence, such as venous filters and intermittent pneumatic compression.
Article visits 529 | PDF visits 87
Downloads
Information
