Acute arterial thrombosis after covered stent exclusion of bleeding mycotic pseudoaneurysm: Treatment using catheter-directed thrombolysis

Sarah Palestrant, M. Grace Knuttinen, Ron C. Gaba, James T. Bui, Charles A. Owens

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Abstract

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.

Original languageEnglish (US)
Article number264053
JournalInternational Journal of Vascular Medicine
Volume2011
DOIs
StatePublished - 2011

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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