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10.1177/1941874420977308

http://scihub22266oqcxt.onion/10.1177/1941874420977308
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34163551!8182401!34163551
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suck abstract from ncbi

pmid34163551      Neurohospitalist 2021 ; 11 (3): 246-250
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  • Partial Recanalization of a Large Vessel Acute Ischemic Stroke With Intravenous Tissue Plasminogen Activator, Followed by Systemic Anticoagulation, in the Setting of COVID-19-Induced Hypercoagulability: A Case Report #MMPMID34163551
  • LaBarbera VA; Azher A; Jayaraman MV; Wendell LC; Sacchetti DC; Thompson B
  • Neurohospitalist 2021[Jul]; 11 (3): 246-250 PMID34163551show ga
  • We report on the use of systemic heparinization following thrombolysis with intravenous tissue plasminogen activator (t-PA) for acute ischemic large vessel stroke, in the setting of COVID-19-induced hypercoagulability, with partial recanalization of the internal carotid artery. Off-label systemic heparinization was used within 12 hours of t-PA administration, after extensive multidisciplinary collaboration and family discussion, given evidence of severe hypercoagulability. We conclude that thrombolysis should be considered for all eligible patients with suspected or confirmed COVID-19 and acute ischemic stroke, and systemic anticoagulation, although with inherent risks, may be a useful adjunct treatment modality in selected patients who have received intravenous thrombolysis.
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