Cerebral embolism associated with left ventricular assist device support and successful therapy with intraarterial urokinase

被引:5
作者
Kasirajan, V
Smedira, NG
Perl, J
McCarthy, PM
机构
[1] Cleveland Clin Fdn, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44195 USA
[2] Cleveland Clin Fdn, Dept Neuroradiol, Cleveland, OH 44195 USA
关键词
D O I
10.1016/S0003-4975(99)00091-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with a bioprosthetic aortic valve sustained a cerebral embolism during support with an implantable left ventricular assist device. This was lysed with intraarterial urokinase with complete resolution of the neurological deficit. Subsequently the patient underwent heart transplantation and remains neurologically intact. This case report is the first successful use of thrombolysis for cerebral embolism associated with a mechanical assist device.
引用
收藏
页码:1148 / 1150
页数:3
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