Catheter-Directed Thrombolysis for Thrombosed Iliac Artery After Stent Placement
Author Information
Author(s): Sarah Palestrant, M. Grace Knuttinen, Ron C. Gaba, James T. Bui, Charles A. Owens
Primary Institution: University of Illinois at Chicago
Hypothesis
Can catheter-directed thrombolysis be safely performed in the presence of recent hemorrhage and infection?
Conclusion
The case demonstrates that catheter-directed thrombolysis can be safely used in patients with recent hemorrhage and infection under specific circumstances.
Supporting Evidence
- Catheter-directed thrombolysis has a low major hemorrhagic complication rate of approximately 5.1%.
- The patient was treated with an aggressive antibiotic regimen to prevent infection of the newly placed covered stents.
- Thrombolysis was deemed the treatment option with the highest likelihood for success and lowest morbidity.
Takeaway
This study shows that doctors can use a special treatment to help blood flow in a patient with a blocked artery, even when there was recent bleeding and infection.
Methodology
The patient underwent catheter-directed thrombolysis after stent placement for a bleeding pseudoaneurysm.
Potential Biases
Potential bias due to the unique nature of the case and lack of control group.
Limitations
This is a single case report, limiting generalizability.
Participant Demographics
A 46-year-old woman with a history of stage IV rectal cancer.
Digital Object Identifier (DOI)
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