title: Successful thrombolysis of a late acute thrombotic occlusion of an aortic prosthesis after endovascular aneurysm repair.
abstract: A 79-year-old man with a previous endovascular aneurysm repair (EVAR) for a 5.4-cm abdominal aortic aneurysm presented 3 years after the procedure with sudden onset lower limb paralysis and pain. The diagnosis of acute aortic thrombosis within the aortic prosthesis graft was made and confirmed on computed tomography. Thrombolysis delivered into the graft via a radiologically placed catheter successfully dissolved the thrombus and resulted in improvement of the patient's symptoms. We discuss the presentation of, and role in management of thrombolysis in, this rare complication of aneurysm repair.
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK. Electronic address: jameswaiting@doctors.org.uk.
authors.forename: James
authors.initials: J
authors.lastname: Waiting
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.
authors.forename: Abigail
authors.initials: A
authors.lastname: Dias
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.
authors.forename: Tulsi
authors.initials: T
authors.lastname: Patel
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.
authors.forename: Tim
authors.initials: T
authors.lastname: Pencavel
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.
authors.forename: Kevin
authors.initials: K
authors.lastname: Rosenfeld
authors.affiliation: Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sarin
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003952:Diagnostic Imaging; D057510:Endovascular Procedures; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000628:therapy*