Trombolisis endovenosa post reversión de acenocumarol con complejo de protrombina. Caso clínico

• Autores: Victor Navia, René Riveros, Alejandro Brunser
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 147, Nº. 7, 2019, págs. 932-934
• Idioma: español
• Títulos paralelos:
  • Intravenous thrombolysis after reversion of acenocoumarol anticoagulation. Report of one case
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• Resumen

  • We report an 89-year-old male under oral anticoagulant therapy with a therapeutic international normalized ratio, presenting at the emergency room with right side hemiparesis and aphasia. Neuroimaging was compatible with an acute middle cerebral artery ischemic stroke. Anticoagulation was reverted with the use of four factor prothrombin complex, followed by thrombolysis with alteplase, with a favorable evolution, returning to his basal functional status.