Trombólise em Acidente Vascular Isquêmico Cardioembólico

Autores

  • Gisele Sampaio Silva Médica neurologista do setor de neurovascular da UNIFESP-EPM.

DOI:

https://doi.org/10.34024/rnc.2006.v14.8745

Palavras-chave:

Acidente cerebrovascular, Terapia Trombolítica

Resumo

Acidentes vasculares cerebrais isquêmicos (AVCi) cardioembólicos são responsáveis por aproximadamente15% de todos os AVCi. Algumas características são sugestivas de cardiembolia como mecanismo do AVCi, dentre elas: déficit máximo no início dos sintomas, múltiplos territórios vasculares acometidos, uma maior tendência à transformação hemorrágica, maior risco de crises epilépticas ou síncope no início dos sintomas e menor chance de ataques isquêmicos transitórios (AIT) premonitórios. Desde a aprovação do ativador do plasminogênio tecidual recombinante (rt-PA) para o tratamento do AVCi quando administrado até três horas do início dos sintomas, essa terapêutica tem sido utilizada como a única capaz de prevenir incapacidade nessa doença por vezes devastadora. Esse artigo faz uma revisão das peculiaridades do tratamento trombolítico no AVCi cardioembólico.

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Publicado

2006-12-31

Como Citar

Silva, G. S. (2006). Trombólise em Acidente Vascular Isquêmico Cardioembólico. Revista Neurociências, 14(4), 214–219. https://doi.org/10.34024/rnc.2006.v14.8745

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Revisão de Literatura
##plugins.generic.dates.received## 2019-02-28
##plugins.generic.dates.published## 2006-12-31

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