Renal artery embolism is a disease that is easily missed due to its infrequent and nonspecific presentations. Although early diagnosis and optimal thrombolytic treatment can sometimes restore renal function, therapeutic guidelines have not yet been established. However, early anticoagulant therapy is beneficial and selective infusion of lytic agents into renal artery has been reported with incr...

More than 70% of cardiac arrest cases are caused by acute myocardial infarction (AMI) or pulmonary embolism (PE). Although thrombolytic therapy is a recognised therapy for both AMI and PE, its indiscriminate use is not routinely recommended during cardiopulmonary resuscitation (CPR). We present a case describing the successful use of double dose thrombolysis during cardiac arrest caused by pulm...

BACKGROUND Saddle pulmonary embolism represents a large clot and a risk for sudden hemodynamic collapse. However, the clinical presentation and outcomes vary widely. On the basis of the findings of right heart dysfunction on echocardiograms, computed tomography angiography, or cardiac enzyme elevation, some argue for the use of thrombolytics or catheter thrombectomy even for hemodynamically sta...

In the articles below three contributors discuss recent progress in the diagnosis and medical and surgical management of deep vein thrombosis. Mr. Norman Browse concludes that not only is phlebography the most valuable method for diagnosis but that it may help correct management. Dr. P. T. ilute emphasizes that anticoagulants may be ineffective in preventing pulmonary embolism from recent throm...

Pulmonary embolism is a blockage of main artery or one of its branches of lung by the fat, amniotic fluid, embolisation of air or any other foreign substances. It is also due to formation of thrombus [blood clot] in the arteries of lung. Due to the pulmonary embolism the blood circulation in the body will be effected. Sometimes PE leads to death also by the lacking of breathing. In USA the annu...

OBJECTIVES Most randomised trials of anticoagulant therapy for suspected acute myocardial infarction have been small and, in some, aspirin and fibrinolytic therapy were not used routinely. A systematic overview (meta-analysis) of their results is needed, in particular to assess the clinical effects of adding heparin to aspirin. DESIGN Computer aided searches, scrutiny of reference lists, and ...

PE 100 mg infused for 2 h with 10 mg given as a bolus Longer duration a This period can be extended to 4.5 hours unless any of the following exclusion criteria are present: patients older than 80 years, patients taking oral anticoagulants regardless of the international normalized ratio, patients with baseline NIHSS score higher than 25, and patients with a history of stroke and diabetes. b For...