Key result
Transesophageal echocardiography successfully identified mobile atherosclerotic debris in the thoracic aorta as the source of embolism in two patients following thrombolytic therapy for acute MI.
Case Report (n=2)
Transesophageal echocardiography is valuable for identifying the source of arterial embolization after thrombolytic therapy, helping to avoid contraindicated procedures like femoral catheterization.
Arterial embolization from thrombolytic therapy for acute myocardial infarction is rare. We report two cases of spontaneous arterial embolization following the use of tissue plasminogen activator for acute myocardial infarction. Transesophageal echocardiography was able to identify the source of embolism as mobile atherosclerotic debris within the thoracic aorta. This information was of value in the management of these patients, in that femoral catheterization which could have precipitated further embolization was avoided.
No takes yet. Share an insight, caveat, or question.
Karalis et al. (1994) conducted a case report in Acute myocardial infarction (n=2). Transesophageal echocardiography was evaluated on Identification of the source of embolism. Transesophageal echocardiography successfully identified mobile atherosclerotic debris in the thoracic aorta as the source of embolism in two patients following thrombolytic therapy for acute MI.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: