3 doctors weighed in:

Why thrombolytic therapy is contraindicated in aortic dissection?

3 doctors weighed in
Dr. Mansour Alfayez
Internal Medicine
1 doctor agrees

In brief: Bleeding risk

Because doctors tries to balance the possible benefits to the risk of harm. And here with aortic dissection, there is an increased risk of bleeding that exceed the desired benefit, which makes thrombolytic contraindicated in those patients.

In brief: Bleeding risk

Because doctors tries to balance the possible benefits to the risk of harm. And here with aortic dissection, there is an increased risk of bleeding that exceed the desired benefit, which makes thrombolytic contraindicated in those patients.
Dr. Mansour Alfayez
Dr. Mansour Alfayez
Thank
Dr. Phillip Goebel
Emergency Medicine
1 doctor agrees

In brief: Death

In an aortic dissection the aorta is splitting between its layers and is at risk for rupture.
It requires a surgical repair. Thrombolytics break down blood clots and any holes in the artery that are being plugged by clot will be opened again potentially worsening the dissection or allowing it to rupture. This would result in a rapid death. Thrombolytics would also prevent the needed surgery.

In brief: Death

In an aortic dissection the aorta is splitting between its layers and is at risk for rupture.
It requires a surgical repair. Thrombolytics break down blood clots and any holes in the artery that are being plugged by clot will be opened again potentially worsening the dissection or allowing it to rupture. This would result in a rapid death. Thrombolytics would also prevent the needed surgery.
Dr. Phillip Goebel
Dr. Phillip Goebel
Thank
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