Successful thrombolysis of a late acute thrombotic occlusion of an aortic prosthesis after endovascular aneurysm repair

James Waiting; Abigail Dias; Tulsi Patel; Tim Pencavel; Kevin Rosenfeld; Sanjeev Sarin

doi:10.1016/j.avsg.2014.02.027

Successful thrombolysis of a late acute thrombotic occlusion of an aortic prosthesis after endovascular aneurysm repair

Ann Vasc Surg. 2014 Oct;28(7):1791.e1-4. doi: 10.1016/j.avsg.2014.02.027. Epub 2014 Mar 12.

Authors

James Waiting¹, Abigail Dias², Tulsi Patel², Tim Pencavel², Kevin Rosenfeld², Sanjeev Sarin²

Affiliations

¹ Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK. Electronic address: [email protected].
² Department of Vascular Surgery, Watford General Hospital, Watford, Hertfordshire, UK.

PMID: 24632314
DOI: 10.1016/j.avsg.2014.02.027

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.

Publication types

Case Reports

MeSH terms

Aged
Aorta, Abdominal*
Blood Vessel Prosthesis / adverse effects*
Diagnostic Imaging
Endovascular Procedures*
Graft Occlusion, Vascular / diagnosis
Graft Occlusion, Vascular / therapy*
Humans
Male
Thrombolytic Therapy / methods*
Thrombosis / diagnosis
Thrombosis / therapy*