A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period

Tenecteplase is a recognized thrombolytic therapy for myocardial infarction. It is also increasingly used in massive and submassive pulmonary embolism. Thus far, there had been 22 patients with pulmonary embolism treated with tenecteplase. However, none of the patients was treated during peripartum...

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Main Authors: Ngow, Harris Abdullah, Wan Nowalid, Wan Khairina
Format: Article
Language:English
Published: Republic of China Society of Cardiology 2011
Subjects:
Online Access:http://irep.iium.edu.my/5106/
http://irep.iium.edu.my/5106/1/ACS_TNK_in_Pulm_Embolism.pdf
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author Ngow, Harris Abdullah
Wan Nowalid, Wan Khairina
author_facet Ngow, Harris Abdullah
Wan Nowalid, Wan Khairina
author_sort Ngow, Harris Abdullah
building IIUM Repository
collection Online Access
description Tenecteplase is a recognized thrombolytic therapy for myocardial infarction. It is also increasingly used in massive and submassive pulmonary embolism. Thus far, there had been 22 patients with pulmonary embolism treated with tenecteplase. However, none of the patients was treated during peripartum period. We report its use in a 35-year-old multiparous woman who was referred at 4 hours post partum with cardiogenic shock. She was clinically suspected to have acute pulmonary embolism, and this was confirmed by computed tomography of the pulmonary artery. She was successfully thrombolysed with tenecteplase but suffered bleeding complication. She was resuscitated and remained stable until discharge 1 week later. A repeat computed tomography of the pulmonary artery at day 4 post-thrombolysis showed a significant reduction in the thrombus load. This case illustrates the potential benefit and efficacy of tenecteplase in acute pulmonary embolism in peri-partum women.
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spelling iium-51062013-06-19T07:52:46Z http://irep.iium.edu.my/5106/ A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period Ngow, Harris Abdullah Wan Nowalid, Wan Khairina R Medicine (General) RC Internal medicine RM Therapeutics. Pharmacology Tenecteplase is a recognized thrombolytic therapy for myocardial infarction. It is also increasingly used in massive and submassive pulmonary embolism. Thus far, there had been 22 patients with pulmonary embolism treated with tenecteplase. However, none of the patients was treated during peripartum period. We report its use in a 35-year-old multiparous woman who was referred at 4 hours post partum with cardiogenic shock. She was clinically suspected to have acute pulmonary embolism, and this was confirmed by computed tomography of the pulmonary artery. She was successfully thrombolysed with tenecteplase but suffered bleeding complication. She was resuscitated and remained stable until discharge 1 week later. A repeat computed tomography of the pulmonary artery at day 4 post-thrombolysis showed a significant reduction in the thrombus load. This case illustrates the potential benefit and efficacy of tenecteplase in acute pulmonary embolism in peri-partum women. Republic of China Society of Cardiology 2011-03-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/5106/1/ACS_TNK_in_Pulm_Embolism.pdf Ngow, Harris Abdullah and Wan Nowalid, Wan Khairina (2011) A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period. Acta Cardiologica Sinica, 27 (1). pp. 52-55. ISSN 1011-6842 http://www.airitilibrary.com/searchdetail.aspx?DocIDs=10116842-201103-201103240017-201103240017-52-55
spellingShingle R Medicine (General)
RC Internal medicine
RM Therapeutics. Pharmacology
Ngow, Harris Abdullah
Wan Nowalid, Wan Khairina
A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title_full A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title_fullStr A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title_full_unstemmed A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title_short A case of successful Thrombolysis in Pulmonary Embolism with Tenecteplase During Peripartum Period
title_sort case of successful thrombolysis in pulmonary embolism with tenecteplase during peripartum period
topic R Medicine (General)
RC Internal medicine
RM Therapeutics. Pharmacology
url http://irep.iium.edu.my/5106/
http://irep.iium.edu.my/5106/
http://irep.iium.edu.my/5106/1/ACS_TNK_in_Pulm_Embolism.pdf