Neurological Research and Practice (Dec 2022)

Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?

  • Sofia Kitmeridou,
  • Dimitrios Tsiptsios,
  • Dimos Tsalkidis,
  • Evlampia A. Psatha,
  • Ioannis Iliopoulos,
  • Nikolaos Aggelousis,
  • Konstantinos Vadikolias

DOI
https://doi.org/10.1186/s42466-022-00227-3
Journal volume & issue
Vol. 4, no. 1
pp. 1 – 4

Abstract

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Abstract Safety and efficacy data on intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) in case of known left ventricular thrombus (LVT) are lacking. We present the case of a 35-year-old male with disabling AIS and known LVT that was treated successfully with intravenous alteplase. Apart from neurological improvement, post-procedural full thrombus lysis was also evident. Even though performing IVT in similar instances constitutes a difficult decision for physicians, it may be reasonable in the context of acute disabling stroke.

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