Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report

INTRODUCTION: Tissue plasminogen activator (tPA), commonly used for treatment of acute ischemic stroke, is associated with life-threatening bleeding intracranially as well as surrounding the airway. CASE REPORT: A 78-year-old year old male who presented with stroke symptoms and after tPA administrat...

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Detalles Bibliográficos
Autores principales: Provenza, Christian, Habermann, Arun Christian, Williams, Theron, Metter, Jeffrey, Walker, James Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438936/
https://www.ncbi.nlm.nih.gov/pubmed/37595307
http://dx.doi.org/10.5811/cpcem.1602
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author Provenza, Christian
Habermann, Arun Christian
Williams, Theron
Metter, Jeffrey
Walker, James Richard
author_facet Provenza, Christian
Habermann, Arun Christian
Williams, Theron
Metter, Jeffrey
Walker, James Richard
author_sort Provenza, Christian
collection PubMed
description INTRODUCTION: Tissue plasminogen activator (tPA), commonly used for treatment of acute ischemic stroke, is associated with life-threatening bleeding intracranially as well as surrounding the airway. CASE REPORT: A 78-year-old year old male who presented with stroke symptoms and after tPA administration developed a retropharyngeal hematoma requiring intubation and surgical intervention. CONCLUSION: Numerous threats to the patient’s airway can develop after tPA administration. While angioedema is the most common cause, it is important to be prepared for other causes related to hemorrhage.
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spelling pubmed-104389362023-08-19 Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report Provenza, Christian Habermann, Arun Christian Williams, Theron Metter, Jeffrey Walker, James Richard Clin Pract Cases Emerg Med Case Report INTRODUCTION: Tissue plasminogen activator (tPA), commonly used for treatment of acute ischemic stroke, is associated with life-threatening bleeding intracranially as well as surrounding the airway. CASE REPORT: A 78-year-old year old male who presented with stroke symptoms and after tPA administration developed a retropharyngeal hematoma requiring intubation and surgical intervention. CONCLUSION: Numerous threats to the patient’s airway can develop after tPA administration. While angioedema is the most common cause, it is important to be prepared for other causes related to hemorrhage. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023-08-09 /pmc/articles/PMC10438936/ /pubmed/37595307 http://dx.doi.org/10.5811/cpcem.1602 Text en © 2023 Provenza et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Provenza, Christian
Habermann, Arun Christian
Williams, Theron
Metter, Jeffrey
Walker, James Richard
Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title_full Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title_fullStr Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title_full_unstemmed Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title_short Retropharyngeal Hematoma Causing Airway Compromise After Tissue Plasminogen Activator Administration: A Case Report
title_sort retropharyngeal hematoma causing airway compromise after tissue plasminogen activator administration: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438936/
https://www.ncbi.nlm.nih.gov/pubmed/37595307
http://dx.doi.org/10.5811/cpcem.1602
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