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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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Vascular and Endovascular Surgery
volume
44
issue
6
pages
506 - 507
publisher
SAGE Publications Inc.
external identifiers
  • wos:000280198200018
  • scopus:77954941751
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
2010-08-26 15:33:33
date last changed
2018-05-29 12:29:09
@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 Inc.},
  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},
  volume       = {44},
  year         = {2010},
}