| Acute pancreatitis after percutaneous mechanical thrombectomy: case report and review of the literature. | |
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MedLine Citation:
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PMID: 21076922 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: We describe a case of severe acute pancreatitis after percutaneous mechanical thrombectomy (PMT) and review the literature for the occurrence of this complication. MATERIALS AND METHODS: A 53-year-old man with a history of bilateral external iliac artery stent placement sought care for acute onset of lifestyle-limiting left claudication. Angiography confirmed left external iliac stent occlusion, and PMT with the AngioJet Xpeedior catheter (Possis Medical, Minneapolis MN) was performed. RESULTS: After PMT of the occluded external iliac artery, a residual in-stent stenosis required the placement of a second iliac stent. The procedure was complicated by severe acute pancreatitis. Other causes of pancreatitis were eliminated during the patient's hospital stay. A literature review revealed nine cases of acute pancreatitis after PMT. CONCLUSION: Although rare, pancreatitis can be a devastating complication of PMT. The development of pancreatitis seems to be related to the products of extensive hemolysis triggering an inflammatory process. To prevent this complication, we recommend that close attention be paid to the duration and extent of PMT, thereby avoiding extensive hemolysis and subsequent complications. |
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Authors:
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Richard C Hershberger; Arash Bornak; Bernadette Aulivola; Krishna Mannava |
Publication Detail:
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Type: Journal Article Date: 2010-11-13 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 34 Suppl 2 ISSN: 1432-086X ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 25-30 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery and Endovascular Therapy, Loyola University Chicago Medical Center, 2160 South First Avenue, EMS Building 110, Room 3218, Maywood, IL, 60153, USA, rihershberger@lumc.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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