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

作者信息

AlKawi Ammar, Kirmani Jawad F, Nazli Janjua N, Ezzeddine Mustapha A, Hanley Daniel F, Qureshi Adnan I

机构信息

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.

出版信息

Neurocrit Care. 2007;6(2):139-45. doi: 10.1007/s12028-007-0004-1.

We 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.