Document Detail

Successful selective thrombolysis for limb-threatening ischemia due to bilateral lower extremity emboli after open aortic aneurysm repair.
MedLine Citation:
PMID:  20519278     Owner:  NLM     Status:  MEDLINE    
Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed continuous filling of the anterior tibial artery down to the dorsalis pedis artery and interrupted, but improved, flow in the medial plantar artery through collaterals. The patient recovered well. At 1 month follow-up, the right foot was unremarkable, whereas the patient experienced slight residual numbness in the medial and distal plantar aspect of his left foot where the great toe/brachial index were lowered to 0.46.
S Acosta; B Lagerström; Z Varga; H Ravn; S Flarup
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-02
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-09-16     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  506-7     Citation Subset:  IM    
Vascular Center, Malmö University Hospital, Malmö, Sweden.
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MeSH Terms
Angioplasty, Balloon
Aortic Aneurysm, Abdominal / radiography,  surgery*
Aortography / methods
Arterial Occlusive Diseases / etiology,  radiography,  therapy*
Blood Vessel Prosthesis Implantation / adverse effects*
Embolism / drug therapy*,  etiology,  radiography
Fibrinolytic Agents / therapeutic use*
Ischemia / drug therapy*,  etiology,  radiography
Lower Extremity / blood supply*
Surgical Procedures, Elective
Thrombolytic Therapy*
Tissue Plasminogen Activator / therapeutic use*
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Fibrinolytic Agents; EC Plasminogen Activator

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

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