Thrombolytic Therapy for the Treatment of Prosthetic Heart Valve Thrombosis in Pregnancy With Low-Dose, Slow Infusion of Tissue-Type Plasminogen Activator
Author(s) -
Mehmet Özkan,
Beytullah Çakal,
Süleyman Karakoyun,
Ozan Mustafa Gürsoy,
Cihan Çevik,
Macit Kalçık,
Ali Emrah Oğuz,
Sabahattin Gündüz,
Mehmet Ali Astarcıoğlu,
Ahmet Çağrı Aykan,
Zübeyde Bayram,
Murat Biteker,
Evren Kaynak,
Gökhan Kahveci,
Nilüfer Ekşi Duran,
Mustafa Yıldız
Publication year - 2013
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.113.001145
Subject(s) - medicine , thrombosis , surgery , pregnancy , plasminogen activator , thrombus , tissue plasminogen activator , t plasminogen activator , complication , cardiology , vascular disease , genetics , biology
Prosthetic valve thrombosis during pregnancy is life-threatening for mother and fetus, and the treatment of this complication is unclear. Cardiac surgery in pregnancy is associated with very high maternal and fetal mortality and morbidity. Thrombolytic therapy has rarely been used in these patients. The aim of this study is to evaluate the safety and efficacy of low-dose (25 mg), slow infusion (6 hours) of tissue-type plasminogen activator for the treatment of prosthetic valve thrombosis in pregnant women.
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