[Treatment of pylethrombosis with alteplase. Description of a clinical case].
The authors report a case of venous pylethrombosis of the proximal splanchnic circuit treated with rt-PA (alteplase) for the first two days and later associated with high doses of heparin. rt-PA demonstrated a good level of efficacy with the partial resolution of the thrombus already after the first administration and in spite of the late commencement of therapy.
Unità Operativa di Medicina Malattie Infettive, Ospedale S. Maria Sopra i Ponte, Arezzo.
S
S
Sassoli
R
R
Maestrini
U
U
Occhini
M
M
Caremani
D000328:Adult; D004359:Drug Therapy, Combination; D005260:Female; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D007275:Injections, Intravenous; D008991:Monitoring, Physiologic; D011169:Portal Vein / Q000000981:diagnostic imaging; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use*; D014463:Ultrasonography
D006493:Heparin; D010959:Tissue Plasminogen Activator
Trattamento di una piletrombosi con alteplase. Descrizione di un caso clinico.