Successful Selective Thrombolysis for Limb-Threatening Ischemia due to Bilateral Lower Extremity Emboli After Open Aortic Aneurysm Repair

Acosta, StefanLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups (author)

Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed continuous filling of the anterior tibial artery down to the dorsalis pedis artery and interrupted, but improved, flow in the medial plantar artery through collaterals. The patient recovered well. At 1 month follow-up, the right foot was unremarkable, whereas the patient experienced slight residual numbness in the medial and distal plantar aspect of his left foot where the great toe/brachial index were lowered to 0.46.

Lagerstrom, B. (author)
Varga, Z. (author)
Ravn, H. (author)
Flarup, S. (author)
Vaskulära sjukdomar - kliniska studierForskargrupper vid Lunds universitet (creator_code:org_t)

In:Vascular and Endovascular Surgery: SAGE Publications44:6, s. 506-5071938-91161538-5744

By the author/editor: Acosta, Stefan; Lagerstrom, B.; Varga, Z.; Ravn, H.; Flarup, S.

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

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