Successful Selective Thrombolysis for Limb-Threatening Ischemia due to Bilateral Lower Extremity Emboli After Open Aortic Aneurysm Repair
Acosta, Stefan LU
; Lagerstrom, B.
; Varga, Z.
; Ravn, H.
and Flarup, S.
(2010)
In Vascular and Endovascular Surgery
44(6).
p.506-507
- Abstract
- Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed continuous filling of the anterior tibial artery down to the dorsalis pedis artery and interrupted, but improved, flow in the medial plantar artery through collaterals. The patient recovered well. At 1 month follow-up, the right foot was unremarkable, whereas the patient experienced slight residual numbness in the medial and distal plantar aspect... (More)
- Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed continuous filling of the anterior tibial artery down to the dorsalis pedis artery and interrupted, but improved, flow in the medial plantar artery through collaterals. The patient recovered well. At 1 month follow-up, the right foot was unremarkable, whereas the patient experienced slight residual numbness in the medial and distal plantar aspect of his left foot where the great toe/brachial index were lowered to 0.46. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1654742
- author
- Acosta, Stefan
LU
; Lagerstrom, B.
; Varga, Z.
; Ravn, H.
and Flarup, S.
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Vascular and Endovascular Surgery
- volume
- 44
- issue
- 6
- pages
- 506 - 507
- publisher
- SAGE Publications
- external identifiers
-
- wos:000280198200018
- scopus:77954941751
- pmid:20519278
- ISSN
- 1938-9116
- DOI
- 10.1177/1538574410369389
- language
- English
- LU publication?
- yes
- id
- 851b6c87-b9ef-4420-b1bb-3b94c5e996f4 (old id 1654742)
- date added to LUP
- 2016-04-01 10:43:31
- date last changed
- 2022-01-26 01:52:54
@article{851b6c87-b9ef-4420-b1bb-3b94c5e996f4,
abstract = {{Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed continuous filling of the anterior tibial artery down to the dorsalis pedis artery and interrupted, but improved, flow in the medial plantar artery through collaterals. The patient recovered well. At 1 month follow-up, the right foot was unremarkable, whereas the patient experienced slight residual numbness in the medial and distal plantar aspect of his left foot where the great toe/brachial index were lowered to 0.46.}},
author = {{Acosta, Stefan and Lagerstrom, B. and Varga, Z. and Ravn, H. and Flarup, S.}},
issn = {{1938-9116}},
language = {{eng}},
number = {{6}},
pages = {{506--507}},
publisher = {{SAGE Publications}},
series = {{Vascular and Endovascular Surgery}},
title = {{Successful Selective Thrombolysis for Limb-Threatening Ischemia due to Bilateral Lower Extremity Emboli After Open Aortic Aneurysm Repair}},
url = {{http://dx.doi.org/10.1177/1538574410369389}},
doi = {{10.1177/1538574410369389}},
volume = {{44}},
year = {{2010}},
}