PMID- 34248575
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210713
IS  - 1662-680X (Print)
IS  - 1662-680X (Electronic)
IS  - 1662-680X (Linking)
VI  - 13
IP  - 2
DP  - 2021 May-Aug
TI  - Heparin for Vertebral Intraluminal Thrombus Causing Retroperitoneal Hemorrhage 
      from Occult Renal Angiomyolipoma.
PG  - 388-393
LID - 10.1159/000514090 [doi]
AB  - Stroke is a common cause of mortality and serious long-term disability worldwide. 
      In the acute setting, current American Heart Association/American Stroke 
      Association guidelines do not recommend routine anticoagulation for the 
      management of acute ischemic strokes. However, short-term use of unfractionated 
      heparin (UFH) in select subpopulations has demonstrated improved outcomes. While 
      tools such as CHADSVASC and HASBLED scores are useful in stratifying risk of 
      long-term anticoagulation in patients with nonvalvular atrial fibrillation and 
      additional risk factors, the carefully selected patient populations for the 
      design of these studies do not account for risk of hemorrhage from other 
      preexisting conditions. Here, we present a patient with a posterior circulation 
      intraluminal thrombus treated with UFH, who manifested with a near-fatal 
      intra-abdominal hemorrhage from a previously undetected renal angiomyolipoma 
      (AML).
CI  - Copyright (c) 2021 by S. Karger AG, Basel.
FAU - Hsieh, Billie
AU  - Hsieh B
AD  - Institute for Stroke and Cerebrovascular Disease, The University of Texas Health 
      Science Center, Houston, Texas, USA.
FAU - Tariq, Muhammad B
AU  - Tariq MB
AD  - Institute for Stroke and Cerebrovascular Disease, The University of Texas Health 
      Science Center, Houston, Texas, USA.
FAU - Ibrahim, Lamya
AU  - Ibrahim L
AD  - Institute for Stroke and Cerebrovascular Disease, The University of Texas Health 
      Science Center, Houston, Texas, USA.
FAU - Khanpara, Shekhar D
AU  - Khanpara SD
AD  - Department of Radiology, The University of Texas Health Science Center, Houston, 
      Texas, USA.
FAU - Kramer, Larry A
AU  - Kramer LA
AD  - Department of Radiology, The University of Texas Health Science Center, Houston, 
      Texas, USA.
FAU - Savitz, Sean I
AU  - Savitz SI
AD  - Institute for Stroke and Cerebrovascular Disease, The University of Texas Health 
      Science Center, Houston, Texas, USA.
LA  - eng
PT  - Case Reports
DEP - 20210614
PL  - Switzerland
TA  - Case Rep Neurol
JT  - Case reports in neurology
JID - 101517693
PMC - PMC8255730
OTO - NOTNLM
OT  - Arrhythmias
OT  - Atrial fibrillation
OT  - Atrial fibrillation arrhythmia
OT  - Blood pressure
OT  - Hemorrhage
OT  - Heparin
OT  - Imaging
OT  - Ischemic
OT  - Ischemic stroke
OT  - Stroke
OT  - Tumor subject terms
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2021/07/13 06:00
MHDA- 2021/07/13 06:01
PMCR- 2021/06/14
CRDT- 2021/07/12 05:46
PHST- 2020/12/02 00:00 [received]
PHST- 2020/12/25 00:00 [accepted]
PHST- 2021/07/12 05:46 [entrez]
PHST- 2021/07/13 06:00 [pubmed]
PHST- 2021/07/13 06:01 [medline]
PHST- 2021/06/14 00:00 [pmc-release]
AID - crn-0013-0388 [pii]
AID - 10.1159/000514090 [doi]
PST - epublish
SO  - Case Rep Neurol. 2021 Jun 14;13(2):388-393. doi: 10.1159/000514090. eCollection 
      2021 May-Aug.