Endovascular Treatment of Multiple Visceral Artery Paradoxical Emboli With Mechanical and Pharmacological Thrombolysis

2000 ◽  
Vol 7 (2) ◽  
pp. 155-160 ◽  
Author(s):  
W. Charles Sternbergh ◽  
Stephen R. Ramee ◽  
Daniel A. DeVun ◽  
Samuel R. Money
2000 ◽  
Vol 7 (2) ◽  
pp. 155-160 ◽  
Author(s):  
W. Charles Sternbergh ◽  
Stephen R. Ramee ◽  
Daniel A. DeVun ◽  
Samuel R. Money

Purpose: To report a case of paradoxical emboli to multiple visceral vessels treated with both mechanical (AngioJet device) and pharmacological (urokinase) thrombolysis. Methods and Results: A 72-year-old man presented with a 48-hour history of symptomatic right renal ischemia, which was treated with heparinization. Five days later, an abrupt creatinine elevation prompted arteriography, which demonstrated thromboembolism of the superior mesenteric artery (SMA) and both renal arteries. The AngioJet aspiration device was employed to successfully remove the clot from the SMA; urokinase infusion restored flow to the left kidney. At the 16-month follow-up evaluation, the patient was normotensive without medication and had a stable creatinine (1.4 mg/dL). Conclusions: Because of its speed and minimal morbidity, the AngioJet device may be an attractive alternative to surgical embolectomy or pharmacological thrombolysis in highly selected cases of acute visceral artery thromboembolism.


2011 ◽  
pp. 521-527 ◽  
Author(s):  
Todd D. Reil ◽  
Alexander Gevorgyan ◽  
Juan Carlos Jimenez ◽  
Samuel S. Ahn

2015 ◽  
Vol 62 (3) ◽  
pp. 829
Author(s):  
Nayara C. Batagini ◽  
Hazem El-Arousy ◽  
Daniel Clair ◽  
Lee Kirksey

2017 ◽  
Vol 40 (11) ◽  
pp. 1784-1791 ◽  
Author(s):  
Julian Maingard ◽  
Hong Kuan Kok ◽  
Emma Phelan ◽  
Caitriona Logan ◽  
Dinesh Ranatunga ◽  
...  

2016 ◽  
Vol 64 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Baolei Guo ◽  
Daqiao Guo ◽  
Xin Xu ◽  
Bin Chen ◽  
Zhenyu Shi ◽  
...  

2016 ◽  
Vol 35 ◽  
pp. 1-8 ◽  
Author(s):  
Nayara Cioffi Batagini ◽  
Hazem El-Arousy ◽  
Daniel G. Clair ◽  
Lee Kirksey

2017 ◽  
Vol 64 (4) ◽  
pp. 689-698 ◽  
Author(s):  
Karin Pfister ◽  
Piotr M. Kasprzak ◽  
Ernst M. Jung ◽  
René Müller-Wille ◽  
Walter Wohlgemuth ◽  
...  

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Julian Maingard ◽  
Anthony Lamanna ◽  
Hong Kuan Kok ◽  
Dinesh Ranatunga ◽  
Rajeev Ravi ◽  
...  

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