Document Detail


Acute left arm ischemia associated with floating thrombus in the proximal descending aorta: combined endovascular and surgical therapy.
MedLine Citation:
PMID:  20112023     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Free floating thrombus in the proximal descending aorta is an uncommon and dangerous condition that can be associated with acute peripheral embolization. The few cases described were solved with surgical and/or medical therapy. We report the case of a patient with acute left arm ischemia secondary to the presence of floating thrombus in the proximal descending aorta extending into the left subclavian artery, solved with combined endovascular and surgical therapy. Treatment was successfully performed with thrombembolectomy combined with temporary deployment, into the descending aorta, of a Wallstent in a "basket-fashion" to avoid distal embolization secondary to thrombus fragmentation. At 1 year follow-up the patient remained symptom-free.
Authors:
F Fanelli; M Gazzetti; E Boatta; M Ruggiero; P Lucatelli; F Speziale
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Publication Detail:
Type:  Journal Article     Date:  2010-01-29
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  34     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  193-7     Citation Subset:  IM    
Affiliation:
Department of Radiological Sciences, Interventional Radiology Unit, Sapienza-University of Rome, 324-Viale Regina Elena, 00161, Rome, Italy. fabrizio.fanelli@uniroma1.it
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