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Systemic thrombolysis in ischemic stroke after recent oral surgery and management of oral cavity bleeding

Seifert, Christian L. and Sprenger, Till and Mücke, Thomas and Foerschler, Annette and Poppert, Holger and Hemmer, Bernhard and Sellner, Johann. (2011) Systemic thrombolysis in ischemic stroke after recent oral surgery and management of oral cavity bleeding. Annals of emergency medicine, Vol. 57, H. 5. pp. 517-519.

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Official URL: http://edoc.unibas.ch/dok/A6007042

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Abstract

Thrombolysis with recombinant tissue plasminogen activator in the treatment of acute ischemic stroke carries a long list of contraindications. One of these is recent surgery, but the extent of complications after minor surgeries such as dental extraction or oral surgical procedures is unclear. Here, we report the management of 2 cases with accidental bleeding from the oral cavity during systemic thrombolysis in ischemic stroke because of recent unreported oral surgery. Bleeding at the operation site occurred early and was stopped by prompt discontinuation of the recombinant tissue plasminogen activator infusion and local compressive therapy. Patients and relatives may not be aware that surgical procedures within the oral cavity are regarded as minor surgery and should be explicitly asked during the evaluation of ischemic stroke within the period for thrombolysis.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Neuroimaging (Sprenger)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Neuroimaging (Sprenger)
UniBasel Contributors:Sprenger, Till
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:0196-0644
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:27 Feb 2014 15:45
Deposited On:27 Feb 2014 15:45

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