Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke

Background. IV tissue plasminogen activator (tPA) is the treatment of choice for ischemic strokes that present within the treatment window. In the majority of patients, this offers an effective and often life-prolonging treatment in the acute setting. In a rare set of patients treated with IV tPA, s...

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Main Authors: Benjamin Chaucer, Dustin Whelan, Christopher Veys, Manas Upadhyaya
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2018/3257215
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author Benjamin Chaucer
Dustin Whelan
Christopher Veys
Manas Upadhyaya
author_facet Benjamin Chaucer
Dustin Whelan
Christopher Veys
Manas Upadhyaya
author_sort Benjamin Chaucer
collection DOAJ
description Background. IV tissue plasminogen activator (tPA) is the treatment of choice for ischemic strokes that present within the treatment window. In the majority of patients, this offers an effective and often life-prolonging treatment in the acute setting. In a rare set of patients treated with IV tPA, side effects can be seen. One rare and potentially dangerous side effect is angioedema. Case Report. We present the case of a patient treated for ischemic stroke who developed angioedema and discuss the etiology and risk factors for this rare, but dangerous side effect. Conclusion. Given the frequent and widespread use of tPA, awareness of the rare life-threatening side effects is paramount. This is of particular importance for practitioners in the acute care setting.
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institution Kabale University
issn 2090-6420
2090-6439
language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Critical Care
spelling doaj-art-444d85ab4b754f5bbdf7dab0a73519c32025-02-03T05:43:58ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/32572153257215Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic StrokeBenjamin Chaucer0Dustin Whelan1Christopher Veys2Manas Upadhyaya3University of Illinois College of Medicine at Peoria, 1 Illini Dr, Peoria, IL 61605, USAUniversity of Illinois College of Medicine at Peoria, 1 Illini Dr, Peoria, IL 61605, USAUniversity of Illinois College of Medicine at Peoria, 1 Illini Dr, Peoria, IL 61605, USAIllinois Neurological Institute, OSF Saint Francis Medical Center, Peoria, IL, USABackground. IV tissue plasminogen activator (tPA) is the treatment of choice for ischemic strokes that present within the treatment window. In the majority of patients, this offers an effective and often life-prolonging treatment in the acute setting. In a rare set of patients treated with IV tPA, side effects can be seen. One rare and potentially dangerous side effect is angioedema. Case Report. We present the case of a patient treated for ischemic stroke who developed angioedema and discuss the etiology and risk factors for this rare, but dangerous side effect. Conclusion. Given the frequent and widespread use of tPA, awareness of the rare life-threatening side effects is paramount. This is of particular importance for practitioners in the acute care setting.http://dx.doi.org/10.1155/2018/3257215
spellingShingle Benjamin Chaucer
Dustin Whelan
Christopher Veys
Manas Upadhyaya
Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
Case Reports in Critical Care
title Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
title_full Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
title_fullStr Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
title_full_unstemmed Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
title_short Angioedema Secondary to IV Tissue Plasminogen Activator Administration for Treatment of Acute Ischemic Stroke
title_sort angioedema secondary to iv tissue plasminogen activator administration for treatment of acute ischemic stroke
url http://dx.doi.org/10.1155/2018/3257215
work_keys_str_mv AT benjaminchaucer angioedemasecondarytoivtissueplasminogenactivatoradministrationfortreatmentofacuteischemicstroke
AT dustinwhelan angioedemasecondarytoivtissueplasminogenactivatoradministrationfortreatmentofacuteischemicstroke
AT christopherveys angioedemasecondarytoivtissueplasminogenactivatoradministrationfortreatmentofacuteischemicstroke
AT manasupadhyaya angioedemasecondarytoivtissueplasminogenactivatoradministrationfortreatmentofacuteischemicstroke