Journal of International Medical Research (Sep 2019)

Coronary aspiration thrombectomy after using intravenous recombinant tissue plasminogen activator in a patient with acute ischemic stroke: a case report

  • Ton Mai Duy,
  • Phuong DaoViet,
  • Dung Nguyen Tien,
  • Quang-Anh Nguyen,
  • Thien Nguyen Tat,
  • Viet Anh Hoang,
  • Trung Le Hong,
  • Huy Nguyen Van,
  • Dat Anh Nguyen,
  • Chi Nguyen Van,
  • Nguyen Vu Thai Lien,
  • Vu Thi Nga,
  • Dinh-Toi Chu

DOI
https://doi.org/10.1177/0300060519865626
Journal volume & issue
Vol. 47

Abstract

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The complication of myocardial infarction after using intravenous recombinant tissue plasminogen activator (rt-PA) in patients with acute ischemic stroke is rare. Several of these cases have been reported in the first 3 hours after infusion of rt-PA. There is controversy on how to manage treatment of the coronary artery, such as intravenous anticoagulants and antiplatelets, at the same time. We introduce a new strategy for treatment of a patient who had ischemic stroke and developed myocardial infarction after intravenous rt-PA therapy. Our case had coronary and cerebral intervention in combination with low-dose intravenous rt-PA. He was successfully treated for coronary occlusion with aspiration thrombectomy.