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Acute arterial thrombosis after covered stent exclusion of bleeding mycotic pseudoaneurysm: treatment using catheter-directed thrombolysis.
MedLine Citation:
PMID:  21603134     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sarah Palestrant; M Grace Knuttinen; Ron C Gaba; James T Bui; Charles A Owens
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Publication Detail:
Type:  Journal Article     Date:  2011-04-28
Journal Detail:
Title:  International journal of vascular medicine     Volume:  2011     ISSN:  2090-2832     ISO Abbreviation:  Int J Vasc Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-23     Completed Date:  2011-07-14     Revised Date:  2011-07-28    
Medline Journal Info:
Nlm Unique ID:  101542608     Medline TA:  Int J Vasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  264053     Citation Subset:  -    
Affiliation:
Section of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USA.
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