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Gilbert BW, Dhakal L, Lacy A, Huffman JB. Hemorrhagic conversion after alteplase administration in a patient with vasculitis and acute ischemic stroke. Am J Health Syst Pharm 2019; 76:211-213. [DOI: 10.1093/ajhp/zxy048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Purpose
A case of alteplase administration to a patient with vasculitis and acute ischemic stroke (AIS) is reported.
Summary
A 38-year-old woman with a recent diagnosis of granulomatosis with polyangiitis (GPA) received alteplase for AIS and developed symptomatic hemorrhagic conversion. Published reports regarding the safety of thrombolytic therapy in patients with a high inflammatory burden are inconsistent. The current case adds to the literature on the topic.
Conclusion
More data regarding alteplase treatment in patients with GPA are needed to further establish the safety of this therapy.
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Affiliation(s)
| | - Laxmi Dhakal
- Neurocritical Care, Wesley Medical Center, Wichita, KS
| | - Alison Lacy
- Neurocritical Care, Wesley Medical Center, Wichita, KS
| | - Joel B Huffman
- Department of Pharmacy, Wesley Medical Center, Wichita, KS
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