EMERGENCY CASEBOOKS
Massive pulmonary embolism with cardiac arrest treated with continuous thrombolysis and concomitant hypothermia
1 Coronary Care Unit, Medical Department, Nordland Hospital, Bodo, Norway
2 Department of Hematology, Nordland Hospital, Bodo, Norway
3 Department of Radiology, Nordland Hospital, Bodo, Norway
4 Department of Anaesthesiology, Nordland Hospital, Bodo, Norway
5 Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, Oslo, Norway
Correspondence to:
Dr A Hovland, Coronary Care Unit, Medical Department, NLSH Bodo, 8092 Bodo, Norway; a-hovlan{at}online.no
This 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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