Catheter-induced acute Blalock–Taussig shunt thrombosis and bailout

AbstractModified Blalock–Taussig shunt thrombosis is a life-threatening event. We describe an extremely rare catheter-induced shunt thrombosis in an infant with complex CHD and its successful treatment utilising a single low dose of local recombinant tissue plasminogen activator in conjunction with balloon angioplasty.

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Systemic thrombolysis with recombinant tissue plasminogen activator for acute life-threatening Blalock-Taussig shunt obstruction

Indian Journal of Critical Care Medicine ◽

10.4103/0972-5229.186248 ◽

2016 ◽

Vol 20 (7) ◽

pp. 425-427 ◽

Cited By ~ 3

Author(s):

Franco Diaz ◽

William C. Sasser ◽

Mark A. Law ◽

Jeffrey A. Alten

Keyword(s):

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Recombinant Tissue Plasminogen Activator ◽

Systemic Thrombolysis ◽

Tissue Plasminogen ◽

Life Threatening ◽

Shunt Obstruction ◽

Blalock Taussig Shunt

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Recanalization of occluded modified Blalock–Taussig shunt using topical recombinant tissue plasminogen activator with balloon angioplasty

Cardiology in the Young ◽

10.1017/s1047951104003117 ◽

2004 ◽

Vol 14 (3) ◽

pp. 322-323 ◽

Cited By ~ 2

Author(s):

Kenji Suda ◽

Masahiko Matsumura ◽

Masahiko Matsumoto

Keyword(s):

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Balloon Angioplasty ◽

Recombinant Tissue Plasminogen Activator ◽

Tissue Plasminogen ◽

Blalock Taussig Shunt

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Thrombolysis of a modified Blalock-Taussig shunt with recombinant tissue plasminogen activator in a newborn infant with pulmonary atresia and ventricular septal defect.

Heart ◽

10.1136/hrt.72.2.201 ◽

1994 ◽

Vol 72 (2) ◽

pp. 201-202 ◽

Cited By ~ 32

Author(s):

M Ries ◽

H Singer ◽

M Hofbeck

Keyword(s):

Ventricular Septal Defect ◽

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Newborn Infant ◽

Septal Defect ◽

Pulmonary Atresia ◽

Recombinant Tissue Plasminogen Activator ◽

Tissue Plasminogen ◽

Blalock Taussig Shunt

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The Successful Use of Low-Dose Recombinant Tissue Plasminogen Activator for Treatment of Intracardiac/Pulmonary Thrombosis During Liver Transplantation

Anesthesia & Analgesia ◽

10.1213/ane.0b013e31820472d4 ◽

2011 ◽

Vol 112 (2) ◽

pp. 319-321 ◽

Cited By ~ 34

Author(s):

James D. Boone ◽

Saadia S. Sherwani ◽

Joshua C. Herborn ◽

Kinjal M. Patel ◽

Andre M. De Wolf

Keyword(s):

Liver Transplantation ◽

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Low Dose ◽

Recombinant Tissue Plasminogen Activator ◽

Pulmonary Thrombosis ◽

Tissue Plasminogen

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Successful recanalization of late portal vein thrombosis after liver transplantation using systemic low-dose recombinant tissue plasminogen activator

Transplant International ◽

10.1111/j.1432-2277.1999.tb01213.x ◽

1999 ◽

Vol 12 (4) ◽

pp. 273-277 ◽

Cited By ~ 20

Author(s):

O. Guckelberger ◽

W.O. Bechstein ◽

J. M. Langrehr ◽

B. Kratschmer ◽

U. Settmacher ◽

...

Keyword(s):

Liver Transplantation ◽

Portal Vein ◽

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Portal Vein Thrombosis ◽

Low Dose ◽

Recombinant Tissue Plasminogen Activator ◽

Vein Thrombosis ◽

Tissue Plasminogen

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Coronary aspiration thrombectomy after using intravenous recombinant tissue plasminogen activator in a patient with acute ischemic stroke: a case report

Journal of International Medical Research ◽

10.1177/0300060519865626 ◽

2019 ◽

Vol 47 (9) ◽

pp. 4551-4556 ◽

Cited By ~ 1

Author(s):

Ton Mai Duy ◽

Phuong DaoViet ◽

Dung Nguyen Tien ◽

Quang-Anh Nguyen ◽

Thien Nguyen Tat ◽

...

Keyword(s):

Myocardial Infarction ◽

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Plasminogen Activator ◽

Tissue Plasminogen Activator ◽

Low Dose ◽

Recombinant Tissue Plasminogen Activator ◽

Aspiration Thrombectomy ◽

Tissue Plasminogen ◽

New Strategy

The complication of myocardial infarction after using intravenous recombinant tissue plasminogen activator (rt-PA) in patients with acute ischemic stroke is rare. Several of these cases have been reported in the first 3 hours after infusion of rt-PA. There is controversy on how to manage treatment of the coronary artery, such as intravenous anticoagulants and antiplatelets, at the same time. We introduce a new strategy for treatment of a patient who had ischemic stroke and developed myocardial infarction after intravenous rt-PA therapy. Our case had coronary and cerebral intervention in combination with low-dose intravenous rt-PA. He was successfully treated for coronary occlusion with aspiration thrombectomy.

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