Spontaneous arterial embolization after thrombolytic therapy for acute myocardial infarction: The role of transesophageal echocardiography

Arterial embolization from thrombolytic therapy for acute myocardial infarction is rare. We report two cases of spontaneous arterial embolization following the use of tissue plasminogen activator for acute myocardial infarction. Transesophageal echocardiography was able to identify the source of emb...

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Veröffentlicht in:	Catheterization and cardiovascular diagnosis 1994-03, Vol.31 (3), p.199-201
Hauptverfasser:	Karalis, Dean G., Kaulback, Kurt W., Ross, John J., Uricchio, Francis J., Chandrasekaran, Krishnaswamy
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aorta, Thoracic - diagnostic imaging arterial embolism Arteriosclerosis - diagnostic imaging Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Catheterization, Peripheral Contraindications coronary artery disease echocardiography Echocardiography, Transesophageal Embolism - etiology Femoral Artery Humans Male Medical sciences Middle Aged Myocardial Infarction - drug therapy Pharmacology. Drug treatments thrombolysis Thrombolytic Therapy - adverse effects Tissue Plasminogen Activator - therapeutic use
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Zusammenfassung:	Arterial embolization from thrombolytic therapy for acute myocardial infarction is rare. We report two cases of spontaneous arterial embolization following the use of tissue plasminogen activator for acute myocardial infarction. Transesophageal echocardiography was able to identify the source of embolism as mobile atherosclerotic debris within the thoracic aorta. This information was of value in the management of these patients, in that femoral catheterization which could have precipitated further embolization was avoided.
ISSN:	0098-6569 1097-0304
DOI:	10.1002/ccd.1810310307