DOAJ Open Access 2013

Lingual Haematoma due to Tenecteplase in a Patient with Acute Myocardial Infarction

Muhlis Bal Yavuz Atar Ziya Salturk Ahmet Hakan Ateş Serkan Yağcı +1 lainnya

Abstrak

The use of intravenous thrombolytic agents has revolutionised the treatment of acute myocardial infarction. However, the improvement in mortality rate achieved with these drugs is tempered by the risk of serious bleeding complications, including intracranial haemorrhage. Tenecteplase is a genetically engineered mutant tissue plasminogen activator. Haemorrhagic complications of tissue plasminogen activator (tPA) are well known. Compared to other tPAs, tenecteplase use leads to lower rates of bleeding complications. Here, we report a case of unusual site of spontaneous bleeding, intralingual haematoma during tenecteplase therapy following acute myocardial infarction, which caused significant upper airway obstruction and required tracheotomy to maintain the patient’s airway. Clinical dilemmas related to securing the airway or reversing the effects of tissue plasminogen activator are discussed.

Topik & Kata Kunci

Otorhinolaryngology

Penulis (6)

Muhlis Bal

Yavuz Atar

Ziya Salturk

Ahmet Hakan Ateş

Serkan Yağcı

Gökçen Coşkun Bal

Format Sitasi

APA MLA BibTeX

Bal, M., Atar, Y., Salturk, Z., Ateş, A.H., Yağcı, S., Bal, G.C. (2013). Lingual Haematoma due to Tenecteplase in a Patient with Acute Myocardial Infarction. https://doi.org/10.1155/2013/239796

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Informasi Jurnal

Tahun Terbit: 2013
Sumber Database: DOAJ
DOI: 10.1155/2013/239796
Akses: Open Access ✓