Extravasation of thrombus into the aortic root: a complication following use of an infusion catheter for intragraft thrombolysis

R P Caputo; D J Cohen; D S Baim; R E Kuntz

doi:10.1002/(SICI)1097-0304(199603)37:3<263::AID-CCD8>3.0.CO;2-A

Extravasation of thrombus into the aortic root: a complication following use of an infusion catheter for intragraft thrombolysis

Cathet Cardiovasc Diagn. 1996 Mar;37(3):263-6. doi: 10.1002/(SICI)1097-0304(199603)37:3<263::AID-CCD8>3.0.CO;2-A.

Authors

R P Caputo¹, D J Cohen, D S Baim, R E Kuntz

Affiliation

¹ Department of Medicine, Beth Israel Hospital Boston, Massachusetts 02215, USA.

PMID: 8974802
DOI: 10.1002/(SICI)1097-0304(199603)37:3<263::AID-CCD8>3.0.CO;2-A

Abstract

Overnight chronic urokinase infusion was used to successfully treat thrombotic occlusion of a saphenous vein graft. Following removal of the infusion catheter, a 3-cm linear thrombus was observed extending from the graft into the ascending aorta. This mobile thrombus was successfully treated with coumadinization for 9 wk. Potential preventive measures for this complication of indwelling catheters are discussed.

Publication types

Case Reports

MeSH terms

Aorta
Catheters, Indwelling / adverse effects*
Coronary Artery Bypass
Graft Occlusion, Vascular / drug therapy*
Humans
Male
Middle Aged
Plasminogen Activators / administration & dosage*
Saphenous Vein / transplantation
Thrombolytic Therapy / adverse effects*
Thrombolytic Therapy / instrumentation
Thrombolytic Therapy / methods
Thrombosis / complications*
Thrombosis / drug therapy*
Urokinase-Type Plasminogen Activator / administration & dosage*

Substances

Plasminogen Activators
Urokinase-Type Plasminogen Activator