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Management of recurrent cerebral arterial occlusion in a patient with cardiac decompensation

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Abstract

We describe a woman with congestive heart failure who presented with acute cardiac decompensation followed by ischemic stroke. The management of the patient posed unique challenges for thrombolytic treatment (due to existing coagulopathy) and subsequent optimization of hemodynamic status. Issues related to rethrombosis and use of platelet glycoprotein IIB/IIIA inhibitors are also discussed.

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Authors and Affiliations

  1. Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey (UMDNJ), 90 Bergen Street, DOC – 8100, Newark, NJ, 07103, USA

    Ammar AlKawi, Jawad F. Kirmani, Janjua N. Nazli, Mustapha A. Ezzeddine & Adnan I. Qureshi

  2. The Johns Hopkins Medical Institutions (DFH), Baltimore, MD, USA

    Daniel F. Hanley

Authors
  1. Ammar AlKawi
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  2. Jawad F. Kirmani
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  3. Janjua N. Nazli
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  4. Mustapha A. Ezzeddine
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  5. Daniel F. Hanley
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  6. Adnan I. Qureshi
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Corresponding author

Correspondence to Ammar AlKawi.

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AlKawi, A., Kirmani, J.F., Nazli, J.N. et al. Management of recurrent cerebral arterial occlusion in a patient with cardiac decompensation. Neurocrit Care 6, 139–145 (2007). https://doi.org/10.1007/s12028-007-0004-1

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  • DOI: https://doi.org/10.1007/s12028-007-0004-1

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