Erschienen in:
14.10.2016 | Case Report - Brain Tumors
Decision-making in a patient with cardiac arrest due to venous thromboembolism within 24 h after glioblastoma resection
verfasst von:
D. Dubinski, S-Y. Won, M. Bruder, M-T. Forster, V. Seifert, C. Senft, J. Berkefeld, J. Mersmann
Erschienen in:
Acta Neurochirurgica
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Ausgabe 12/2016
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Abstract
In the fulminant VTE form with cardiac arrest, systemic thrombolysis remains the most effective therapy. However, several contraindications restrict the use such as intracranial neoplasm or a recent history of intracranial surgery. Here, we report the case of a 59-year-old man who underwent glioblastoma resection and suffered from a fulminant pulmonary embolism with cardiac arrest. After CPR, continuous tPA infusion via an endovascularly placed pulmonary catheter was maintained over a period of 8 h. In this case, we report on our decision-making process and the use of local thrombolysis as a successful therapy in a patient with multiple contraindications.