Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair

A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral acute lower limb ischaemia. We describe successful endovascular and pharmacological management using a combination of mechanical disruption of the thrombus (...

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Detalles Bibliográficos
Autores principales: Wohlgemut, Jared M, Hennessy, Martin, Hussey, Keith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102870/
https://www.ncbi.nlm.nih.gov/pubmed/32257102
http://dx.doi.org/10.1093/jscr/rjaa056
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author Wohlgemut, Jared M
Hennessy, Martin
Hussey, Keith
author_facet Wohlgemut, Jared M
Hennessy, Martin
Hussey, Keith
author_sort Wohlgemut, Jared M
collection PubMed
description A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral acute lower limb ischaemia. We describe successful endovascular and pharmacological management using a combination of mechanical disruption of the thrombus (using the access sheaths) followed by intra-arterial thrombolysis (Actilyse) infusion. Within 4-h the endograft had completely re-canalized. The patient made an uncomplicated recovery and was discharged on the second post-operative day.
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spelling pubmed-71028702020-04-02 Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair Wohlgemut, Jared M Hennessy, Martin Hussey, Keith J Surg Case Rep Case Report A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral acute lower limb ischaemia. We describe successful endovascular and pharmacological management using a combination of mechanical disruption of the thrombus (using the access sheaths) followed by intra-arterial thrombolysis (Actilyse) infusion. Within 4-h the endograft had completely re-canalized. The patient made an uncomplicated recovery and was discharged on the second post-operative day. Oxford University Press 2020-03-28 /pmc/articles/PMC7102870/ /pubmed/32257102 http://dx.doi.org/10.1093/jscr/rjaa056 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Wohlgemut, Jared M
Hennessy, Martin
Hussey, Keith
Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title_full Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title_fullStr Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title_full_unstemmed Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title_short Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
title_sort thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102870/
https://www.ncbi.nlm.nih.gov/pubmed/32257102
http://dx.doi.org/10.1093/jscr/rjaa056
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