Percutaneous Catheter-directed Thrombolysis for Treatment of Complete Body and Bilateral Limb Endovascular Aortic Graft Occlusion

L. Alder , Q. Al-Jarrah , M.A. Rahi , N. Wilde , H. Al-Khaffaf
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引用次数: 4

Abstract

Introduction

Endovascular aortic aneurysm repair has specific complications, of these there have been few reports of complete body and bilateral limb occlusion.

Report

We describe a case of a 67 year old man presenting with complete EVAR body and bilateral limb graft occlusion treated with percutaneous catheter-directed thrombolysis. Complete graft patency was obtained within 24 h.

Discussion

Complete EVAR graft body and bilateral limb is exceedingly uncommon. Treatments suggested include surgical bypass axillo- or aorto- bifemoral, and surgical thrombectomy. We have described a novel method of percutaneous catheter directed thrombolysis with good results.

经皮导管引导溶栓治疗全身及双侧肢体血管内主动脉瓣闭塞
血管内主动脉瘤修复有特定的并发症,其中很少有全身和双侧肢体闭塞的报道。报告:我们报告了一例67岁男性,表现为完全EVAR身体和双侧肢体移植物闭塞,经皮导管定向溶栓治疗。在24小时内获得完全的移植物通畅讨论完全的EVAR移植物体和双侧肢体是非常罕见的。建议的治疗方法包括手术旁路腋窝或主动脉双侧,和手术取栓。我们已经描述了一种新的方法经皮导管直接溶栓效果良好。
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