Key result
Rescue thrombolysis was successfully administered as compassionate treatment in a man with massive pulmonary embolism and recent ruptured aneurysm clipping, restoring his clinical condition.
Why the study?
Does rescue thrombolysis improve survival in a patient with massive pulmonary embolism and recent intracerebral hemorrhage?
Case Report (n=1)
Does rescue thrombolysis improve survival in a patient with massive pulmonary embolism and recent intracerebral hemorrhage?
Rescue thrombolysis can be successfully used as a compassionate, life-saving treatment in massive pulmonary embolism even in patients with recent intracerebral hemorrhage when the risk-benefit ratio is carefully evaluated.
May support individualized compassionate use in massive PE with recent ICH; leaves open survival benefit and generalizability.
We 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.
No takes yet. Share an insight, caveat, or question.
Jong et al. (2013) conducted a case report in Massive pulmonary embolism with intracerebral hemorrhage (n=1). Rescue thrombolysis was evaluated on Clinical recovery. Rescue thrombolysis was successfully administered as compassionate treatment in a man with massive pulmonary embolism and recent ruptured aneurysm clipping, restoring his clinical condition.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: