Systemic Fibrinolytic Therapy in the Presence of Absolute Contraindication; a Case Series

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Pishgahi Mahdi; Alirezaei Toktam; HAJIMORADI BEHZAD; Nekooghadam S.Mojtaba; SHAHI SHIMA

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Journal Paper

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Journal: Archives of Academic Emergency Medicine Year:2018 | Volume:6 | Issue:1 Page(s): 0-0

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Title

Systemic Fibrinolytic Therapy in the Presence of Absolute Contraindication; a Case Series

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Keywords

Massive Pulmonary embolism

fibrinolytic therapy

anticoagulant

absolute contraindication

Abstract

In Massive Pulmonary embolism (PE), fibrinolytic therapy is a potential lifesaving treatment; therefore, if other treatments are not available, the physicians encounter this question: can we accept the risk of complications from fibrinolytic therapy, especially intracranial hemorrhage, in the presence of absolute contraindication, in order to save the patient’ s life? Here, we describe three cases of massive PE with absolute contraindication for fibrinolytic therapy who presented to emergency department following dyspnea. Since, surgical or catheter embolectomy were not available and patients were very high risk for transferring to another hospital, systemic fibrinolytic was administered. The patients improved clinically and were discharged from hospital. It seems that, if no other acceptable treatments are available, physicians could consider fibrinolytic therapy, even at the presence of contraindication, to save the patient’ s life.

Cites

Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report

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APA: Copy

Pishgahi, Mahdi, Alirezaei, Toktam, HAJIMORADI, BEHZAD, Nekooghadam, S.Mojtaba, & SHAHI, SHIMA. (2018). Systemic Fibrinolytic Therapy in the Presence of Absolute Contraindication; a Case Series. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 6(1), 0-0. SID. https://sid.ir/paper/339633/en

Vancouver: Copy

Pishgahi Mahdi, Alirezaei Toktam, HAJIMORADI BEHZAD, Nekooghadam S.Mojtaba, SHAHI SHIMA. Systemic Fibrinolytic Therapy in the Presence of Absolute Contraindication; a Case Series. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2018;6(1):0-0. Available from: https://sid.ir/paper/339633/en

IEEE: Copy

Mahdi Pishgahi, Toktam Alirezaei, BEHZAD HAJIMORADI, S.Mojtaba Nekooghadam, and SHIMA SHAHI, “Systemic Fibrinolytic Therapy in the Presence of Absolute Contraindication; a Case Series,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 6, no. 1, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/339633/en

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