• Neurocritical care · Jan 2007

    Case Reports

    Management of recurrent cerebral arterial occlusion in a patient with cardiac decompensation.

    • Ammar AlKawi, Jawad F Kirmani, Janjua N Nazli, Mustapha A Ezzeddine, Daniel F Hanley, and Adnan I Qureshi.
    • Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey (UMDNJ), 90 Bergen Street, DOC - 8100, Newark, NJ 07103, USA. ammarkawi@hotmail.com
    • Neurocrit Care. 2007 Jan 1; 6 (2): 139-45.

    AbstractWe describe a woman with congestive heart failure who presented with acute cardiac decompensation followed by ischemic stroke. The management of the patient posed unique challenges for thrombolytic treatment (due to existing coagulopathy) and subsequent optimization of hemodynamic status. Issues related to rethrombosis and use of platelet glycoprotein IIB/IIIA inhibitors are also discussed.

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