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Case Reports
Massive pulmonary embolism with cardiac arrest treated with continuous thrombolysis and concomitant hypothermia.
- A Hovland, H Bjørnstad, R F Hallstensen, K A Hugaas, J A Westlie, T Elden, and K Andersen.
- Coronary Care Unit, Medical Department, Nordland Hospital, 8092 Bodo, Norway. a-hovlan@online.no
- Emerg Med J. 2008 May 1;25(5):310-1.
AbstractThis case report describes the clinical course in a 49-year-old man with repeated cardiac arrests due to massive pulmonary embolism. He was successfully treated with intravenous tenecteplase followed by catheter-based alteplase infusion during external cooling. The case illustrates that vitally important bolus thrombolytic therapy may be continued as catheter-based treatment along with hypothermia without significant bleeding complications.
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