Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis

Conventional absolute contraindications to catheter-directed thrombolysis include active or recent hemorrhage and the presence of local vascular infection, both of which increase the risk of procedure-related complications such as bleeding and systemic sepsis. For this reason, lytic therapy of arter...

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Bibliographic Details
Main Authors: Sarah Palestrant, M. Grace Knuttinen, Ron C. Gaba, James T. Bui, Charles A. Owens
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2011/264053
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Summary:Conventional absolute contraindications to catheter-directed thrombolysis include active or recent hemorrhage and the presence of local vascular infection, both of which increase the risk of procedure-related complications such as bleeding and systemic sepsis. For this reason, lytic therapy of arterial thromboembolism under these circumstances is generally precluded. Herein, we describe a unique case of safe catheter-directed lysis of an acutely thrombosed iliac artery following covered stent placement for treatment of an actively bleeding infected pseudoaneurysm. Our management approach is discussed.
ISSN:2090-2824
2090-2832