Wohlgemut JM, Hennessy M, Hussey K. Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair.
J Surg Case Rep 2020;
2020:rjaa056. [PMID:
32257102 PMCID:
PMC7102870 DOI:
10.1093/jscr/rjaa056]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 02/21/2020] [Accepted: 02/26/2020] [Indexed: 11/12/2022] Open
Abstract
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.
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