Document Detail


Percutaneous endovascular treatment of acute sequential systemic emboli.
MedLine Citation:
PMID:  16476620     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 65-year-old woman was evaluated for acute right lower-extremity ischemia secondary to embolization from atrial fibrillation and subtherapeutic anticoagulation. Her symptoms quickly evolved in a dynamic fashion to involve multiple vascular beds, including a transient ischemic attack, abdominal pain secondary to mesenteric ischemia, and contralateral lower-extremity ischemia. Synchronous emboli were treated by using mechanical and pharmacologic thrombolysis via an endovascular approach under local anesthesia. This intervention allows prompt evaluation of multiple vascular beds with good short-term outcomes and minimal morbidity.
Authors:
Mark J Russo; Rabih A Chaer; Stephanie C Lin; K Craig Kent; James F McKinsey
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  43     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-14     Completed Date:  2007-10-15     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  388-92     Citation Subset:  IM    
Affiliation:
Columbia/Weill Cornell Division of Vascular Surgery, New York-Presbyterian Hospital, New York, NY 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Aged
Angioplasty, Balloon*
Anticoagulants / therapeutic use
Atrial Fibrillation / complications*,  drug therapy
Combined Modality Therapy
Embolism / complications,  drug therapy,  etiology,  radiography,  surgery,  therapy*
Female
Femoral Artery / radiography
Fibrinolytic Agents / therapeutic use*
Humans
Ischemia / etiology*,  radiography,  therapy
Ischemic Attack, Transient / etiology
Lower Extremity / blood supply*
Mesenteric Arteries / radiography
Mesenteric Vascular Occlusion / complications,  etiology*,  radiography,  therapy
Popliteal Artery / radiography
Thrombectomy*
Treatment Outcome
Urokinase-Type Plasminogen Activator / therapeutic use*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrinolytic Agents; EC 3.4.21.73/Urokinase-Type Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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