Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke?
There are approximately 2 million cardiac catheterizations that occur every year in the United States and with an aging population this number continues to rise. Adverse events due to this procedure occur at low rates and include stroke, arrhythmia, and myocardial infarctions. Due to the high volume...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/9280961 |
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| _version_ | 1832560241223401472 |
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| author | Zain Kulairi Nisha Deol Renee Tolly Rohan Manocha Maliha Naseer |
| author_facet | Zain Kulairi Nisha Deol Renee Tolly Rohan Manocha Maliha Naseer |
| author_sort | Zain Kulairi |
| collection | DOAJ |
| description | There are approximately 2 million cardiac catheterizations that occur every year in the United States and with an aging population this number continues to rise. Adverse events due to this procedure occur at low rates and include stroke, arrhythmia, and myocardial infarctions. Due to the high volume of procedures there are a growing number of adverse events. Stroke after cardiac catheterization (SCC) has an incidence between 0.27 and 0.5% and is one of the most debilitating complications leading to high rates of mortality and morbidity. Given the relatively uncommon clinical setting of stroke after cardiac catheterization, treatment protocols regarding the use of IV or IA thrombolysis have not been adequately developed. Herein, we describe a case of a 39-year-old male who developed a stroke following a cardiac catheterization where IV thrombolysis was utilized although the patient was on heparin prior to cardiac catheterization. |
| format | Article |
| id | doaj-art-4ca4b869b1b2458092f16a7e5db54860 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-4ca4b869b1b2458092f16a7e5db548602025-02-03T01:28:01ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/92809619280961Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke?Zain Kulairi0Nisha Deol1Renee Tolly2Rohan Manocha3Maliha Naseer4Department of Internal Medicine, Crittenton Hospital Medical Center, Wayne State University, Rochester, MI 48307, USADepartment of Internal Medicine, Crittenton Hospital Medical Center, Wayne State University, Rochester, MI 48307, USADepartment of Internal Medicine, Crittenton Hospital Medical Center, Wayne State University, Rochester, MI 48307, USADepartment of Internal Medicine, Crittenton Hospital Medical Center, Wayne State University, Rochester, MI 48307, USADepartment of Internal Medicine, Crittenton Hospital Medical Center, Wayne State University, Rochester, MI 48307, USAThere are approximately 2 million cardiac catheterizations that occur every year in the United States and with an aging population this number continues to rise. Adverse events due to this procedure occur at low rates and include stroke, arrhythmia, and myocardial infarctions. Due to the high volume of procedures there are a growing number of adverse events. Stroke after cardiac catheterization (SCC) has an incidence between 0.27 and 0.5% and is one of the most debilitating complications leading to high rates of mortality and morbidity. Given the relatively uncommon clinical setting of stroke after cardiac catheterization, treatment protocols regarding the use of IV or IA thrombolysis have not been adequately developed. Herein, we describe a case of a 39-year-old male who developed a stroke following a cardiac catheterization where IV thrombolysis was utilized although the patient was on heparin prior to cardiac catheterization.http://dx.doi.org/10.1155/2017/9280961 |
| spellingShingle | Zain Kulairi Nisha Deol Renee Tolly Rohan Manocha Maliha Naseer Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? Case Reports in Neurological Medicine |
| title | Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? |
| title_full | Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? |
| title_fullStr | Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? |
| title_full_unstemmed | Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? |
| title_short | Is Intravenous Heparin a Contraindication for TPA in Ischemic Stroke? |
| title_sort | is intravenous heparin a contraindication for tpa in ischemic stroke |
| url | http://dx.doi.org/10.1155/2017/9280961 |
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