Repeated intravenous thrombolysis in early recurrent stroke secondary to carotid web: Case report

Abstract

Intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) is the first effective approved treatment for reducing ischemic stroke disability, and having a stroke within 3 months is usually a contraindication to thrombolysis. In this paper, we describe the case of a 58-year-old patient who received repeated intravenous thrombolysis at 10 days interval for a recurrent ischemic stroke, with dramatic improvement. The carotid diaphragm was behind this recurrent stroke and it was treated by stenting.

Keywords

• Previous stroke within 3 months
• Repeated intravenous thrombolysis
• Early recurrent stroke
• Carotid web artery
• Symptomatic intracranial hemorrhage