Sofia Kitmeridou, Dimitrios Tsiptsios, Dimos Tsalkidis, Evlampia A Psatha, Ioannis Iliopoulos, Nikolaos Aggelousis, Konstantinos Vadikolias
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Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?
Safety and efficacy data on intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) in case of known left ventricular thrombus (LVT) are lacking. We present the case of a 35-year-old male with disabling AIS and known LVT that was treated successfully with intravenous alteplase. Apart from neurological improvement, post-procedural full thrombus lysis was also evident. Even though performing IVT in similar instances constitutes a difficult decision for physicians, it may be reasonable in the context of acute disabling stroke.
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