![]() |
JOURNAL TOOLS |
eTOC |
Per abbonarsi |
Sottometti un articolo |
Segnala alla tua biblioteca |
ARTICLE TOOLS |
Publication history |
Estratti |
Permessi |
Per citare questo articolo |

I TUOI DATI
I TUOI ORDINI
CESTINO ACQUISTI
N. prodotti: 0
Totale ordine: € 0,00
COME ORDINARE
I TUOI ABBONAMENTI
I TUOI ARTICOLI
I TUOI EBOOK
COUPON
ACCESSIBILITÀ
CASE REPORT / SHORT REPORT Open
Italian Journal of Emergency Medicine 2020 April;9(1):55-7
DOI: 10.23736/S2532-1285.20.00006-3
Copyright © 2020 THE AUTHORS
This is an open access article under the CC BY-NC-ND license
lingua: Inglese
Repeated thrombolysis after early recurrent ischemic stroke within 48 hours
Roberta ROMUALDI 1, 2, Maurizio ASSETTA 2, Paolo CERRONE 1, Alfonsina CASALENA 2, Matteo DI GIUSEPPE 2, Samanta SCIAMANNA 2, Clara BALSANO 1 ✉
1 Department of Clinical Medicine, Life, Health and Environmental Sciences-MESVA, University of L’Aquila, L’Aquila, Italy; 2 Unit of Neurology-Stroke, Giuseppe Mazzini Hospital, Teramo, Italy
Intravenous thrombolysis (IVT) with recombinant tissue plasminogen activator is effective and safe in acute ischemic stroke. Repeated IVT for early recurrent stroke is currently contraindicated in stroke guidelines of American Heart Association and American Stroke Association (AHA/ASA), due to the high risk of intracerebral hemorrhage. Several recent studies suggest that repeated IVT may be one of the therapeutic options when secondary prevention fails. We described a case of two systemic thrombolysis treatments within 48 hours in a patient with early ischemic stroke recurrence, in which a significant neurologic improvement was obtained despite the appearance of a small subarachnoid hemorrhage.
KEY WORDS: Stroke; Tissue plasminogen activator; Mechanical thrombolysis