Popliteal artery thrombosis in a patient with Cogan syndrome: treatment with thrombolysis and percutaneous transluminal angioplasty.
A 31-year-old woman with Cogan syndrome (a rare form of systemic vasculitis) was evaluated for a cold, painful left foot with diminished pulses. Arteriography demonstrated thrombosis of the left popliteal artery with evidence of vasculitis. Thrombolytic therapy was begun with initial success but eventual rethrombosis. After reinitiating thrombolytic therapy combined with intraarterial vasodilator therapy, successful angioplasty was performed with sustained results at 6-month follow-up.
Bastug
D E
DE
Department of Radiology, West Virginia University, Robert C. Byrd Health Sciences Center, Morgantown 26506-9235, USA.
Dominic
A
A
Ortiz
O
O
DiBartolomeo
A G
AG
Kotzan
J M
JM
Abraham
F M
FM
D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D005996:Nitroglycerin / Q000008:administration & dosage; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012008:Recurrence; D013577:Syndrome; D015912:Thrombolytic Therapy / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage; D014657:Vasculitis / Q000000981:diagnostic imaging / Q000628:therapy*
D014568:Urokinase-Type Plasminogen Activator; D005996:Nitroglycerin