• A & A case reports · Oct 2013

    Successful rescue thrombolysis in massive pulmonary embolism with intracerebral hemorrhage.

    • Audrey De Jong, Alain Boularan, Frédéric Greco, Kifah Khouri, and Pierre-François Perrigault.
    • From the Departments of *Intensive Care Unit (DAR C) and †Neurosurgery, Gui de Chauliac Hospital, University Hospital of Montpellier, Montpellier cedex, France.
    • A A Case Rep. 2013 Oct 15;1(2):31-3.

    AbstractWe report the case of a man with a massive pulmonary embolism, which lead to cardiac arrest. After ruptured aneurysm clipping, he was successfully treated by rescue thrombolysis administered as compassionate treatment despite the risk of cerebral bleeding. The patient was discharged from the intensive care unit; his initial neurological, cardiac, and pulmonary conditions restored. In case of life-threatening pulmonary embolism, the risk-benefit ratio of thrombolysis therapy should be systematically evaluated and the decision adapted to each patient.

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