title: Streptokinase dissolution of a right atrial thrombus associated with a temporary pacemaker.
abstract: Thrombosis of intravascular catheters is a well-recognized and potentially serious complication, which has been treated successfully with thrombolytic agents. A routine echocardiogram in a patient with a temporary transvenous pacemaker demonstrated a large thrombus attached to the pacing electrode. This was dissolved successfully and uneventfully with high-dose intravenous streptokinase therapy. To our knowledge, this is the first report of the successful lysis of a right atrial thrombus complicating a temporary transvenous pacemaker.
authors: Department of Medicine, Mount Sinai Hospital, Hartford, Conn.
authors: K J
authors: KJ
authors: May
authors: J T
authors: JT
authors: Cardone
authors: P P
authors: PP
authors: Stroebel
authors: A L
authors: AL
authors: Riba
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006331:Heart Diseases / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D013300:Streptokinase