Top

Published in:

Open Access 19-09-2023 | Stroke | Letter to the Editor

Repeated intravenous thrombolysis in early recurrent ischemic stroke: a case report of an elderly low weight female

Authors: Feifei Chen, Xiangting Chen, Qian Zhang, Siyuan Wen, Changqing Zhou

Published in: Neurological Sciences | Issue 1/2024

Excerpt

Guidelines in many countries advise against intravenous thrombolysis (IVT) for the patient with a history of stroke within 3 months for the presumed higher risk of intracranial hemorrhage. However, some observational studies indicated that IVT may be effective and safe in some patients. This article reports a successful case of repeated IVT with low-dose alteplase in an 80-year-old low weight female patient with recurrent ischemic stroke within 9 days after the index stroke. …

Rempe D (2014) Predicting outcomes after transient ischemic attack and stroke. Continuum (Minneap Minn) 20(2 Cerebrovascular Disease) 412–428

Krittayaphong R, Chichareon P, Komoltri C, Kornbongkotmas S, Yindeengam A, Lip GYH (2020) Low body weight increases the risk of ischemic stroke and major bleeding in atrial fibrillation: the COOL-AF registry. J Clin Med 9(9):2713CrossRefPubMedPubMedCentral

Kimura K, Iguchi Y, Shibazaki K, Iwanaga T, Yamashita S, Aoki J (2009) IV t-PA therapy in acute stroke patients with atrial fibrillation. J Neurol Sci 276(1–2):6–8CrossRefPubMed

Chen PH, Gao S, Wang YJ, Xu AD, Li YS, Wang D (2012) Classifying ischemic stroke, from TOAST to CISS. CNS Neurosci Ther 18(6):452–456CrossRefPubMedPubMedCentral

Saposnik G, Fang J, Kapral MK, Tu JV, Mamdani M, Austin P, Johnston SC, N. Investigators of the Registry of the Canadian Stroke, G. Stroke Outcomes Research Canada Working (2012) The iScore predicts effectiveness of thrombolytic therapy for acute ischemic stroke. Stroke 43(5):1315–1322

Nepal G, Kharel S, Yadav JK, Yadav SK, Bhagat R, Shing YK, Coghlan M, Bhattarai SL, Sigdel K, Mahat BC (2022) Low-dose alteplase for the management of acute ischemic stroke in South Asians: a systematic review on cost, efficacy and safety. J Clin Neurosci 103:92–99CrossRefPubMed

Turc G, Bhogal P, Fischer U, Khatri P, Lobotesis K, Mazighi M, Schellinger PD, Toni D, de Vries J, White P, Fiehler J (2019) European Stroke Organisation (ESO)- European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke. J Neurointerv Surg 11(6):535–538CrossRefPubMed

Bouslama M, Haussen DC, Rebello LC, Grossberg JA, Frankel MR, Nogueira RG (2017) Repeated mechanical thrombectomy in recurrent large vessel occlusion acute ischemic stroke. Interv Neurol 6(1–2):1–7CrossRefPubMed

Pirson FAV, van Oostenbrugge RJ, van Zwam WH, Remmers MJM, Dippel DWJ, van Es ACGM, van den Wijngaard IR, Schonewille WJ, Staals J (2020) Repeated endovascular thrombectomy in patients with acute ischemic stroke. Stroke 51(2):526–532CrossRefPubMed

10.

Bhogal P, AlMatter M, Hellstern V, Pérez MA, Ganslandt O, Bäzner H, Henkes H (2019) Mechanical thrombectomy for recurrent large vessel occlusion. J Clin Neurosci 66:107–112CrossRefPubMed

11.

Styczen H, Maegerlein C, Yeo LLL, Clajus C, Kastrup A, Abdullayev N, Behme D, Maurer CJ, Meyer L, Goertz L, Ikenberg B, Tan BYQ, Lobsien D, Papanagiotou P, Kabbasch C, Hesse AC, Berlis A, Fiehler J, Fischer S, Forsting M, Maus V (2020) Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature. J Neurointerv Surg 12(12):1186–1193PubMed

12.

Santana D, Laredo C, Renú A, Rudilosso S, Llull L, Urra X, Obach V, López-Rueda A, Macías N, Amaro S, Chamorro A (2020) Incidence and clinico-radiological correlations of early arterial reocclusion after successful thrombectomy in acute ischemic stroke. Transl Stroke Res 11(6):1314–1321CrossRefPubMed

13.

Dell’Aera C, Giammello F, Caragliano AA, Ciacciarelli A, Francalanza I, Currò CT, Pitrone A, Grillo F, Casella C, Fazio MC, La Spina P, Cotroneo M, Crea P, Toscano A, Vinci SL, Musolino RF (2022) Musolino, Repeated reperfusion treatment in recurrent ischemic stroke: A retrospective single-center case series. J Neurol Sci 434:120147

Title: Repeated intravenous thrombolysis in early recurrent ischemic stroke: a case report of an elderly low weight female
Authors: Feifei Chen
Xiangting Chen
Qian Zhang
Siyuan Wen
Changqing Zhou
Publication date: 19-09-2023
Publisher: Springer International Publishing
Keywords: Stroke
Alteplase
CT of the Head
Atrial Fibrillation
Cerebral Hemorrhage
Published in: Neurological Sciences / Issue 1/2024
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-023-07060-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Repeated intravenous thrombolysis in early recurrent ischemic stroke: a case report of an elderly low weight female

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2024

Serum Cystatin C is a potential biomarker for predicting amyotrophic lateral sclerosis survival

Jean-Martin Charcot (1825–1893) and the first classification of multiple sclerosis in the medical literature

Agreement between video-based clinician-rated tools and patient-reported outcomes on gait assessment in individuals with multiple sclerosis

Impulse control disorders in Parkinson’s disease: a retrospective analysis of 1824 patients in a 12-year period

Cerebral amyloid angiopathy-related inflammation (CAA-ri): a case report

Pilot study on the probability of drug-drug interactions among direct oral anticoagulants (DOACs) and antiseizure medications (ASMs): a clinical perspective