Thrombolytic therapy in acute ischemic stroke patients with cardiac thrombus

被引:36
作者
Derex, L
Nighoghossian, N
Perinetti, M
Honnorat, J
Trouillas, P
机构
[1] Hop Neurol & Neurochirurg P Wertheimer, Serv Urgences Neurovasc, F-69003 Lyon, France
[2] Hop Cardiol, Lab Echocardiog, Lyon, France
关键词
D O I
10.1212/WNL.57.11.2122
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe the outcome of five patients with a cardiac thrombus selected among 183 patients with stroke (2.7%) who were given IV tissue plasminogen activator (tPA). No early systemic or cerebral embolism occurred. Two patients made a complete recovery at 3 months. Two patients had a moderate outcome. One patient had late recurrent cerebral embolism and died. These data suggest that the presence of a cardiac thrombus is not associated with a high risk of recurrent embolism in patients with stroke who are given IV tPA.
引用
收藏
页码:2122 / 2125
页数:4
相关论文
共 10 条
[1]  
Adams HP, 1996, NEUROLOGY, V47, P835
[2]   EMBOLIC STROKE FOLLOWING THROMBOLYTIC THERAPY FOR MYOCARDIAL-INFARCTION IN A PATIENT WITH PREEXISTING VENTRICULAR THROMBI [J].
BAUTISTA, RED .
STROKE, 1995, 26 (02) :324-325
[3]   CARDIAC SOURCES OF EMBOLISM AND CEREBRAL INFARCTION - CLINICAL CONSEQUENCES AND VASCULAR CONCOMITANTS - THE LAUSANNE STROKE REGISTRY [J].
BOGOUSSLAVSKY, J ;
CACHIN, C ;
REGLI, F ;
DESPLAND, PA ;
VANMELLE, G ;
KAPPENBERGER, L .
NEUROLOGY, 1991, 41 (06) :855-859
[4]   Intravenous tPA in acute ischemic stroke related to internal carotid artery dissection [J].
Derex, L ;
Nighoghossian, N ;
Turjaman, F ;
Hermier, M ;
Honnorat, J ;
Neuschwander, P ;
Froment, JC ;
Trouillas, P .
NEUROLOGY, 2000, 54 (11) :2159-2161
[5]   Short-course thrombolysis as the first line of therapy for cardiac valve thrombosis [J].
Manteiga, R ;
Souto, JC ;
Altès, A ;
Mateo, J ;
Arís, A ;
Dominguez, JM ;
Borrás, X ;
Carreras, F ;
Fontcuberta, J .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (04) :780-784
[6]   TISSUE-PLASMINOGEN ACTIVATOR FOR ACUTE ISCHEMIC STROKE [J].
MARLER, JR ;
BROTT, T ;
BRODERICK, J ;
KOTHARI, R ;
ODONOGHUE, M ;
BARSAN, W ;
TOMSICK, T ;
SPILKER, J ;
MILLER, R ;
SAUERBECK, L ;
JARRELL, J ;
KELLY, J ;
PERKINS, T ;
MCDONALD, T ;
RORICK, M ;
HICKEY, C ;
ARMITAGE, J ;
PERRY, C ;
THALINGER, K ;
RHUDE, R ;
SCHILL, J ;
BECKER, PS ;
HEATH, RS ;
ADAMS, D ;
REED, R ;
KLEI, M ;
HUGHES, S ;
ANTHONY, J ;
BAUDENDISTEL, D ;
ZADICOFF, C ;
RYMER, M ;
BETTINGER, I ;
LAUBINGER, P ;
SCHMERLER, M ;
MEIROSE, G ;
LYDEN, P ;
RAPP, K ;
BABCOCK, T ;
DAUM, P ;
PERSONA, D ;
BRODY, M ;
JACKSON, C ;
LEWIS, S ;
LISS, J ;
MAHDAVI, Z ;
ROTHROCK, J ;
TOM, T ;
ZWEIFLER, R ;
DUNFORD, J ;
ZIVIN, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (24) :1581-1587
[7]  
PESSIN MS, 1991, THROMBOLYTIC THERAPY, P67
[8]   THE JUDE,ST VALVE - THROMBOLYSIS AS THE 1ST LINE OF THERAPY FOR CARDIAC-VALVE THROMBOSIS [J].
SILBER, H ;
KHAN, SS ;
MATLOFF, JM ;
CHAUX, A ;
DEROBERTIS, M ;
GRAY, R .
CIRCULATION, 1993, 87 (01) :30-37
[9]   Thrombolysis with intravenous rtPA in a series of 100 cases of acute carotid territory stroke -: Determination of etiological, topographic, and radiological outcome factors [J].
Trouillas, P ;
Nighoghossian, N ;
Derex, L ;
Adeleine, P ;
Honnorat, J ;
Neuschwander, P ;
Riche, G ;
Getenet, JC ;
Li, W ;
Froment, JC ;
Turjman, F ;
Malicier, D ;
Fournier, G ;
Gabry, AL ;
Ledoux, X ;
Berthezène, Y ;
Ffrench, P ;
Dechavanne, M .
STROKE, 1998, 29 (12) :2529-2540
[10]  
YASAKA M, 1994, ANGIOLOGY, V45, P481, DOI 10.1177/000331979404500611