Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair.

J Surg Case Rep

Department of Vascular Surgery, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK.

Published: March 2020

A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral acute lower limb ischaemia. We describe successful endovascular and pharmacological management using a combination of mechanical disruption of the thrombus (using the access sheaths) followed by intra-arterial thrombolysis (Actilyse) infusion. Within 4-h the endograft had completely re-canalized. The patient made an uncomplicated recovery and was discharged on the second post-operative day.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102870PMC
http://dx.doi.org/10.1093/jscr/rjaa056DOI Listing

Publication Analysis

Top Keywords

graft occlusion
8
occlusion elective
8
elective endovascular
8
aneurysm repair
8
thrombolysis acute
4
acute graft
4
endovascular aortic
4
aortic aneurysm
4
repair 65-year-old
4
65-year-old man
4

Similar Publications

Over the past decades, new treatments and guidelines have been introduced for the screening and management of familial hypercholesterolemia (FH). However, the impact of these medical and scientific advances on the characteristics and burden of coronary lesions over time in FH remains poorly documented. The primary goal of this study is to determine the characteristics of coronary lesions in HeFH patients who underwent coronary angiography within two distinct timeframes: the last five years versus those who had the procedure at the same hospital 25 years earlier.

View Article and Find Full Text PDF

In patients with Leriche syndrome and coronary artery disease, the operative strategy is very important because the internal thoracic artery (ITA) often provides important collateral blood flow to the lower extremities. A 65-year-old man with diabetes mellitus was admitted with heart failure and bilateral claudication. We successfully performed endovascular therapy(EVT) for aortoiliac occlusive disease, followed by minimally invasive coronary artery bypass grafting(MICS-CABG) for ischaemic heart disease.

View Article and Find Full Text PDF

In patients with synchronic liver colorectal metastasis, resection of the primary tumor and liver metastases is the only potentially curative strategy. In such cases, there is no consensus on whether resection of the primary tumor and metastases should be performed simultaneously or whether a staged approach should be performed (resection of the primary tumor and after, hepatectomy, or hepatectomy first). Patients with no bowel occlusion and with extensive liver disease are advised neoadjuvant oncological therapy.

View Article and Find Full Text PDF

Purpose: To describe and evaluate the efficacy and safety of lacrimal sac to conjunctiva reconstructive ostomy for proximal lacrimal system reconstruction.

Methods: This retrospective study included 41 patients (32 cancer and 9 trauma; 36 primary and 5 secondary) who underwent lacrimal sac to conjunctiva reconstructive ostomy. The technique involves creating a direct connection between a surgical opening in the lacrimal sac, which maintains its bony attachments to prevent ostomy occlusion, and the medial conjunctiva (medial fornix, bulbar, and palpebral).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!