Literature DB >> 23355564

Acute stroke in a patient with advanced uraemia: should thrombolysis be given?

Marguerite McCloskey1, Agnes Masengu, Joanne Shields, M Ivan Wiggam.   

Abstract

A 65-year-old gentleman with stage 5 chronic kidney disease developed an acute posterior circulation stroke, which was treated with intravenous thrombolytic therapy. This was complicated by a retroperitoneal haemorrhage. The patient made an excellent neurological recovery and was discharged to home, independently mobile, having been established on haemodialysis. This case highlights the challenges of managing acute ischaemic stroke in patients with advanced uraemia.

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Year:  2013        PMID： 23355564      PMCID： PMC3604296          DOI： 10.1136/bcr-2012-007307

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  11 in total

1.  Renal function and outcome among stroke patients treated with IV thrombolysis.

Authors:  P A Lyrer; F Fluri; D Gisler; S Papa; F Hatz; S T Engelter
Journal:  Neurology       Date:  2008-11-04       Impact factor: 9.910

2.  Reduced estimated glomerular filtration rate is associated with stroke outcome after intravenous rt-PA: the Stroke Acute Management with Urgent Risk-Factor Assessment and Improvement (SAMURAI) rt-PA registry.

Authors:  Masaki Naganuma; Masatoshi Koga; Yoshiaki Shiokawa; Jyoji Nakagawara; Eisuke Furui; Kazumi Kimura; Hiroshi Yamagami; Yasushi Okada; Yasuhiro Hasegawa; Kazuomi Kario; Satoshi Okuda; Kazutoshi Nishiyama; Kazuo Minematsu; Kazunori Toyoda
Journal:  Cerebrovasc Dis       Date:  2010-11-17       Impact factor: 2.762

Review 3.  Evidence-based treatment recommendations for uremic bleeding.

Authors:  Stephanie J Hedges; Sarah B Dehoney; Justin S Hooper; Jamshid Amanzadeh; Anthony J Busti
Journal:  Nat Clin Pract Nephrol       Date:  2007-03

4.  Thrombolysis for acute stroke in hemodialysis: international survey of expert opinion.

Authors:  Santiago Palacio; Nicole R Gonzales; Navdeep S Sangha; Lee A Birnbaum; Robert G Hart
Journal:  Clin J Am Soc Nephrol       Date:  2011-03-10       Impact factor: 8.237

5.  Risk factors for incident stroke among patients with end-stage renal disease.

Authors:  Stephen L Seliger; Daniel L Gillen; David Tirschwell; Haimanot Wasse; Bryan R Kestenbaum; Catherine O Stehman-Breen
Journal:  J Am Soc Nephrol       Date:  2003-10       Impact factor: 10.121

6.  Elevated risk of stroke among patients with end-stage renal disease.

Authors:  Stephen L Seliger; Daniel L Gillen; W T Longstreth; Bryan Kestenbaum; Catherine O Stehman-Breen
Journal:  Kidney Int       Date:  2003-08       Impact factor: 10.612

7.  In-hospital outcomes with thrombolytic therapy in patients with renal dysfunction presenting with acute ischaemic stroke.

Authors:  Varun Agrawal; Baroon Rai; Jonathan Fellows; Peter A McCullough
Journal:  Nephrol Dial Transplant       Date:  2009-11-27       Impact factor: 5.992

Review 8.  Intravenous alteplase for stroke: beyond the guidelines and in particular clinical situations.

Authors:  Jacques De Keyser; Zuzana Gdovinová; Maarten Uyttenboogaart; Patrick C Vroomen; Gert Jan Luijckx
Journal:  Stroke       Date:  2007-07-26       Impact factor: 7.914

9.  Multivariable analysis of outcome predictors and adjustment of main outcome results to baseline data profile in randomized controlled trials: Safe Implementation of Thrombolysis in Stroke-MOnitoring STudy (SITS-MOST).

Authors:  Nils Wahlgren; Niaz Ahmed; Niclas Eriksson; Franz Aichner; Erich Bluhmki; Antoni Dávalos; Terttu Erilä; Gary A Ford; Martin Grond; Werner Hacke; Michael G Hennerici; Markku Kaste; Martin Köhrmann; Vincent Larrue; Kennedy R Lees; Thomas Machnig; Risto O Roine; Danilo Toni; Geert Vanhooren
Journal:  Stroke       Date:  2008-10-16       Impact factor: 7.914

10.  Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists.

Authors:  Harold P Adams; Gregory del Zoppo; Mark J Alberts; Deepak L Bhatt; Lawrence Brass; Anthony Furlan; Robert L Grubb; Randall T Higashida; Edward C Jauch; Chelsea Kidwell; Patrick D Lyden; Lewis B Morgenstern; Adnan I Qureshi; Robert H Rosenwasser; Phillip A Scott; Eelco F M Wijdicks
Journal:  Circulation       Date:  2007-05-22       Impact factor: 29.690
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