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; Adnan I Qureshi

doi:10.1007/s12028-007-0004-1

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

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

Authors

Ammar AlKawi¹, Jawad F Kirmani, Janjua N Nazli, Mustapha A Ezzeddine, Daniel F Hanley, Adnan I Qureshi

Affiliation

¹ 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. [email protected]

PMID: 17522797
DOI: 10.1007/s12028-007-0004-1

Abstract

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.

Publication types

Case Reports
Clinical Conference

MeSH terms

Angioplasty
Brain Ischemia / diagnosis
Brain Ischemia / etiology
Brain Ischemia / therapy*
Female
Fibrinolytic Agents / administration & dosage
Heart Failure / complications*
Heart Failure / therapy
Humans
Middle Aged
Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors
Recurrence
Stroke / diagnosis
Stroke / etiology
Stroke / therapy*
Thrombolytic Therapy / methods

Substances

Fibrinolytic Agents
Platelet Glycoprotein GPIIb-IIIa Complex