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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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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author Sarah Palestrant
M. Grace Knuttinen
Ron C. Gaba
James T. Bui
Charles A. Owens
author_facet Sarah Palestrant
M. Grace Knuttinen
Ron C. Gaba
James T. Bui
Charles A. Owens
author_sort Sarah Palestrant
collection DOAJ
description 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.
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institution Kabale University
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language English
publishDate 2011-01-01
publisher Wiley
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series International Journal of Vascular Medicine
spelling doaj-art-42880a77db554475ba8465c9892029d72025-02-03T01:28:15ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322011-01-01201110.1155/2011/264053264053Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed ThrombolysisSarah Palestrant0M. Grace Knuttinen1Ron C. Gaba2James T. Bui3Charles A. Owens4Section of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USASection of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USASection of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USASection of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USASection of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USAConventional 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.http://dx.doi.org/10.1155/2011/264053
spellingShingle Sarah Palestrant
M. Grace Knuttinen
Ron C. Gaba
James T. Bui
Charles A. Owens
Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
International Journal of Vascular Medicine
title Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
title_full Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
title_fullStr Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
title_full_unstemmed Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
title_short Acute Arterial Thrombosis after Covered Stent Exclusion of Bleeding Mycotic Pseudoaneurysm: Treatment Using Catheter-Directed Thrombolysis
title_sort acute arterial thrombosis after covered stent exclusion of bleeding mycotic pseudoaneurysm treatment using catheter directed thrombolysis
url http://dx.doi.org/10.1155/2011/264053
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