Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the proc...

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Detalles Bibliográficos
Autores principales: Shannon, Nicholas Brian, Kumar, Pradesh, Tay, Kiang Hiong, Tan, Sia Yang, Chng, Siew Ping, Tay, Hsien Tsung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011325/
https://www.ncbi.nlm.nih.gov/pubmed/32095247
http://dx.doi.org/10.1177/2050313X20906741
Descripción
Sumario:A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.

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