| Successful thrombolysis of right atrial and ventricle thrombi encircling a temporary pacemaker lead in a patient with heparin-induced thrombocytopenia type II. | |
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MedLine Citation:
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PMID: 10234725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Only few reports exist addressing the problem of temporary pacemaker leads associated with thromboembolic disease. We report the case of a 67-year-old patient who required a temporary transfemoral pacemaker due to AV block grade III. The patient developed extensive right atrial and ventricle thrombus formation attached to the pacing wire, as well as venous thrombosis at the insertion site due to heparin-induced thrombocytopenia type II (HIT type II). After short-term thrombolysis with 1 mg rt-PA/kg b.w. complete resolution of all clots could be shown by B-mode sonography and transthoracic, as well as transesophageal echocardiography. |
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Authors:
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U Janssens; O A Breithardt; A Greinacher |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 22 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-06-18 Completed Date: 1999-06-18 Revised Date: 2005-05-12 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 678-81 Citation Subset: IM |
Affiliation:
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Medical Clinic I, University of RWTH Aachen, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anticoagulants / administration & dosage, adverse effects*, therapeutic use Chondroitin Sulfates / administration & dosage, therapeutic use Dermatan Sulfate / administration & dosage, therapeutic use Drug Combinations Fibrinolytic Agents / therapeutic use* Heart Atria Heart Diseases / drug therapy* Heart Ventricles Heparin / adverse effects* Heparinoids / administration & dosage, therapeutic use Heparitin Sulfate / administration & dosage, therapeutic use Hirudin Therapy Hirudins / administration & dosage Humans Pacemaker, Artificial* Thrombocytopenia / chemically induced*, classification Thrombolytic Therapy* Thrombosis / drug therapy* Tissue Plasminogen Activator / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Drug Combinations; 0/Fibrinolytic Agents; 0/Heparinoids; 0/Hirudins; 24967-94-0/Dermatan Sulfate; 83513-48-8/danaproid; 9005-49-6/Heparin; 9007-28-7/Chondroitin Sulfates; 9050-30-0/Heparitin Sulfate; EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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