title: Acute arterial thrombosis after covered stent exclusion of bleeding mycotic pseudoaneurysm: treatment using catheter-directed thrombolysis.
abstract: Conventional absolute contraindications to catheter-directed thrombolysis include active or recent hemorrhage and the presence of local vascular infection, both of which increase the risk of procedure-related complications such as bleeding and systemic sepsis. For this reason, lytic therapy of arterial thromboembolism under these circumstances is generally precluded. Herein, we describe a unique case of safe catheter-directed lysis of an acutely thrombosed iliac artery following covered stent placement for treatment of an actively bleeding infected pseudoaneurysm. Our management approach is discussed.
authors: Section of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, 1740 West Taylor Street, MC 931, Chicago, IL 60612, USA.
authors: Sarah
authors: S
authors: Palestrant
authors: M Grace
authors: MG
authors: Knuttinen
authors: Ron C
authors: RC
authors: Gaba
authors: James T
authors: JT
authors: Bui
authors: Charles A
authors: CA
authors: Owens
references: J Vasc Interv Radiol. 2003 Dec;14(12):1491-501
references: 14654482
references: Mayo Clin Proc. 2003 Jan;78(1):99-102
references: 12528884
references: J Vasc Interv Radiol. 2010 Jul;21(7):1004-10
references: 20570176
references: Radiographics. 2008 Nov-Dec;28(7):1853-68
references: 19001644
references: J Vasc Surg. 2007 Nov;46(5):906-12
references: 17905558
references: AJR Am J Roentgenol. 1987 Jul;149(1):177-81
references: 2954441
references: J Vasc Interv Radiol. 2003 Sep;14(9 Pt 2):S337-49
references: 14514841
references: J Vasc Interv Radiol. 2000 Feb;11(2 Pt 1):149-61
references: 10716384
references: Pediatr Crit Care Med. 2002 Oct;3(4):355-7
references: 12780954
references: Cardiovasc Intervent Radiol. 2009 Mar;32(2):347-51
references: 18931876
references: J Vasc Interv Radiol. 2008 Jun;19(6 Suppl):S51-6
references: 18502387