Streptokinase dissolution of a right atrial thrombus associated with a temporary pacemaker.
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.
May
K J
KJ
Department of Medicine, Mount Sinai Hospital, Hartford, Conn.
Cardone
J T
JT
Stroebel
P P
PP
Riba
A L
AL
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*
D013300:Streptokinase