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2/28/2026 7:48:50 AM | Browse: 1 | Download: 0
Publication Name World Journal of Critical Care Medicine
Manuscript ID 115620
Country Greece
Received
2025-10-21 05:34
Peer-Review Started
2025-10-21 05:36
First Decision by Editorial Office Director
2025-11-04 09:36
Return for Revision
2025-11-04 09:36
Revised
2025-12-10 14:17
Publication Fee Transferred
Second Decision by Editor
2026-01-21 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-21 06:27
Articles in Press
2026-01-21 06:27
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-02-09 00:32
Publish the Manuscript Online
2026-02-28 07:48
ISSN 2220-3141(online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Critical Care Medicine
Manuscript Type Case Report
Article Title Myoclonus associated with tranexamic acid administration in a patient on veno-arterial extracorporeal membrane oxygenation support: A case report
Manuscript Source Invited Manuscript
All Author List Fotios Dimitriadis, Theodoros Pitsolis, Kyriaki Kolovou, Theodosia Maragkoulia, Evangelia Theodorou, Giorgos Konstantinou, Theodora Soulele, Ioannis Vlahodimitris, Michail Zervos, Paraskevi Salata, Dimitrios Elaiopoulos, Stergios Gatzonis and Stavros Dimopoulos
ORCID
Author(s) ORCID Number
Theodoros Pitsolis http://orcid.org/0000-0002-5567-3697
Kyriaki Kolovou http://orcid.org/0000-0003-4634-9868
Theodora Soulele http://orcid.org/0000-0001-5674-7208
Dimitrios Elaiopoulos http://orcid.org/0000-0002-6368-2817
Stavros Dimopoulos http://orcid.org/0000-0003-2199-3788
Funding Agency and Grant Number
Corresponding Author Stavros Dimopoulos, PhD, Cardiac Surgery Intensive Care Unit, Onassis Cardiac Surgery Center, 356 Syggrou Av, Athens 17674, Attikí, Greece. stdimop@gmail.com
Key Words Tranexamic acid; Extracorporeal membrane oxygenation; Myoclonic jerks; Continuous renal replacement therapy; Overdose; Case report
Core Tip This article describes the first known case of tranexamic acid (TXA)-induced myoclonus in a patient receiving veno-arterial extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy. TXA accumulation due to impaired renal clearance led to neurotoxicity, which resolved after drug discontinuation. The case underscores the need for individualized TXA dosing and vigilant neurological monitoring in ECMO patients with renal dysfunction, given the absence of standardized dosing protocols and the delicate hemostatic balance in this setting.
Publish Date 2026-02-28 07:48
Citation

Dimitriadis F, Pitsolis T, Kolovou K, Maragkoulia T, Theodorou E, Konstantinou G, Soulele T, Vlahodimitris I, Zervos M, Salata P, Elaiopoulos D, Gatzonis S, Dimopoulos S. Myoclonus associated with tranexamic acid administration in a patient on veno-arterial extracorporeal membrane oxygenation support: A case report. World J Crit Care Med 2026; 15(1): 115620

URL https://www.wjgnet.com/2220-3141/full/v15/i1/115620.htm
DOI https://dx.doi.org/10.5492/wjccm.v15.i1.115620
Full Article (PDF) WJCCM-15-115620-with-cover.pdf
CARE Checklist–2016 115620-CARE-Checklist-2016.pdf
Manuscript File 115620_Auto_Edited_105159.docx
Answering Reviewers 115620-answering-reviewers.pdf
Audio Core Tip 115620-audio.mp3
Conflict-of-Interest Disclosure Form 115620-conflict-of-interest-statement.pdf
Copyright License Agreement 115620-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 115620-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 115620-non-native-speakers.pdf
Peer-review Report 115620-peer-reviews.pdf
Scientific Misconduct Check 115620-scientific-misconduct-check.png
Scientific Editor Work List 115620-scientific-editor-work-list.pdf
CrossCheck Report 115620-crosscheck-report.pdf