SUCCESSFUL TREATMENT OF PULMONARY EMBOLISM AND ASSOCIATED UPPER EXTREMITY ARTERY THROMBOSIS USING INTRAVENOUS ALTEPLASE: A CASE REPORT

Kivanc KARAMAN; Cihangir CELİK; Alten OSKAY; Hamit Hakan ARMAĞAN; Onder TOMRUK

doi:https://doi.org/10.33706/jemcr.551134

Makale detayları

SUCCESSFUL TREATMENT OF PULMONARY EMBOLISM AND ASSOCIATED UPPER EXTREMITY ARTERY THROMBOSIS USING INTRAVENOUS ALTEPLASE: A CASE REPORT

Yazarlar:

Kivanc KARAMAN | Cihangir CELİK | Alten OSKAY | Hamit Hakan ARMAĞAN | Onder TOMRUK

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.39-42

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000504467

Sıklık:

Aylık

eISSN:

2149-9934

DOI:

https://doi.org/10.33706/jemcr.551134

Özet:

 


Introduction: Although thrombolytic
administration is inevitable in the management of massive pulmonary embolism,
contradictions exist in the treatment of sub-massive pulmonary embolism. There
are drawbacks to thrombolytic treatment due to potential serious side effects
such as cranial hemorrhage. 

Case Report: An 84-year-old female patient was
admitted to the emergency service because of pain and lack of a pulse in her
right arm and %61 oxygen saturation without any respiratory system complaints.
A computerized tomography showed pulmonary embolism close to totality in the
bilateral main pulmonary arteries and peripheral embolism in the right brachial
artery. We considered a sub-massive pulmonary embolism in this patient with no
hypotension despite bilateral pulmonary artery embolism, good general
condition, but a dilated right ventriculi in transthoracic echocardiography.
Since the PESI score was 115, it was decided that the patient was in the
high-risk group. After administration of 100 mg Alteplase as thrombolytic
therapy, her oxygen saturation increased to 95% in the room air and her
complaint of right arm completely regressed. Furthermore, none of the possible
complications from thrombolytic therapy, such as fatal bleeding, were observed
in our patient. 

Conclusion: In this article, it is emphasized
that thrombolytic therapy is an appropriate choice for patients with
sub-massive pulmonary embolism and acute arterial embolism.

.

Makale detayları

SUCCESSFUL TREATMENT OF PULMONARY EMBOLISM AND ASSOCIATED UPPER EXTREMITY ARTERY THROMBOSIS USING INTRAVENOUS ALTEPLASE: A CASE REPORT

Yazarlar: Kivanc KARAMAN | Cihangir CELİK | Alten OSKAY | Hamit Hakan ARMAĞAN | Onder TOMRUK

Yayıncı: Acil Tıp Uzmanları Derneği

Dergi: Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.39-42

Belge Tipi: Makale

Yayın Tarihi: 3/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000504467

Sıklık: Aylık

eISSN: 2149-9934

DOI: https://doi.org/10.33706/jemcr.551134

Sayı

Yazarlar:

Kivanc KARAMAN | Cihangir CELİK | Alten OSKAY | Hamit Hakan ARMAĞAN | Onder TOMRUK

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.39-42

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000504467

Sıklık:

Aylık

eISSN:

2149-9934

DOI:

https://doi.org/10.33706/jemcr.551134