Thrombolysis of incidental pulmonary embolism in a stroke patient

Patrick Silveira; Justin McCloskey; Mohammad Kassar

doi:10.1016/j.radcr.2024.03.053

Thrombolysis of incidental pulmonary embolism in a stroke patient

Radiol Case Rep. 2024 Apr 13;19(7):2600-2602. doi: 10.1016/j.radcr.2024.03.053. eCollection 2024 Jul.

Authors

Patrick Silveira¹, Justin McCloskey¹, Mohammad Kassar¹

Affiliation

¹ Department of Radiology, West Virginia University Hospital, 1 Medical Center Drive, PO Box 9235 Morgantown, WV, USA.

Abstract

Both acute ischemic stroke (AIS) and pulmonary embolism (PE) are major causes of morbidity and mortality, with overlapping risk factors. Incidental or silent PE therefore may be discovered during an AIS work-up. Thrombolytic therapy is considered first-line therapy for eligible patients with AIS. We present the case of an 88-year-old man with an AIS, who was incidentally found to have a PE, and then received thrombolytic therapy leading to favorable outcomes in both conditions.

Keywords: Pulmonary embolism; Stroke; Tenecteplase; Thrombolytic therapy.

Publication types

Case Reports