Safety of Thrombolysis in a Patient with an Intracranial Dural Arteriovenous Fistula

  • Ana João Pissarra Medical Oncology Department, Hospital São Francisco Xavier, Lisbon, Portugal
  • Mariana Malheiro Medical Oncology Department, Hospital São Francisco Xavier, Lisbon, Portugal
  • Carolina Gouveia Internal Medicine Department, Hospital São Francisco Xavier, Lisbon, Portugal
  • Patrícia Vicente Internal Medicine Department, Hospital São Francisco Xavier, Lisbon, Portugal
  • Leonor Matos Medical Oncology Department, Hospital São Francisco Xavier, Lisbon, Portugal
DOI: https://doi.org/10.12890/2019_001019

Keywords

Pulmonary thromboembolism, thrombolysis, arteriovenous malformation

Abstract

Intracranial dural arteriovenous fistula is an abnormal connection between an artery and a vein that has an increased risk of bleeding. This case report presents a 53-year-old man diagnosed with a dural arteriovenous malformation fistula in occipital topography, lacking therapeutic indication because of an extension. He was admitted to an intensive care unit due to a high-risk pulmonary thromboembolism with indication for thrombolysis. Taking into account the hemorrhagic risk associated with arteriovenous malformation, the authors discuss the therapeutic options and the inherent risks.

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    • Published: 2019-01-14

    Issue: Vol 6 No 1 (view)

    Section: Articles

    How to cite:
    1.
    Pissarra AJ, Malheiro M, Gouveia C, Vicente P, Matos L. Safety of Thrombolysis in a Patient with an Intracranial Dural Arteriovenous Fistula. EJCRIM 2019;6 doi:10.12890/2019_001019.

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