Intra-arterial Thrombolysis in Second Trimester of Pregnancy. A Case Report

Endre Pongrácz¹, Szabolcs Farkas², Miklós Dajka³, László Csiba²

¹ Department of Neurology, Hetényi Géza Hospital, H-5001 Szolnok, Tószegi street 21, Hungary
² Department of Neurology, University of Debrecen, H-4012 Debrecen, Móricz Zsigmond street, no.22, Hungary
³ Department of Radiology, Avas Medical Centre LLC, H-5001 Szolnok, Tószegi street 21, Hungary

DOI: 10.1515/jccm-2015-0005

Here we present a successful intra-arterial thrombolysis performed in the second trimester of pregnancy (21 weeks). The intervention resulted in complete recanalization of the occluded right middle cerebral artery and favourable clinical and gestational outcome. Together with cases described in respective medical literature our report affirms that in pregnancy acute ischemic stroke could be treated effectively applying intra-arterial thrombolysis (using rt-PA). This therapy could provide opportunity to help in such desperate situations.