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Pancreatitis Caused by Rheolytic Thrombolysis: An Unexpected Complication
- Source :
- Journal of Vascular and Interventional Radiology. 15:857-860
- Publication Year :
- 2004
- Publisher :
- Elsevier BV, 2004.
-
Abstract
- Two patients developed acute pancreatitis after mechanical thrombolysis with use of the AngioJet system. Patient 1 had undergone a remote complex revascularization of the lower extremities and presented with acute ischemia after thrombosis of his composite distal bypass. Patient 2 presented with superior vena cava (SVC) syndrome and had thrombosis of the SVC and innominate veins. Despite dissimilar presentations, both patients had renal insufficiency, were treated with mechanical and chemical thrombolysis, and had extensive thrombus burden. The pathophysiology of acute pancreatitis in this setting is believed to be secondary to massive hemolysis in the presence of chronic renal insufficiency. This phenomenon should be considered in patients whom develop abdominal pain after mechanical thrombolysis.
- Subjects :
- Male
Superior Vena Cava Syndrome
medicine.medical_specialty
Abdominal pain
medicine.medical_treatment
Revascularization
Fibrinolytic Agents
Mechanical Thrombolysis
Ischemia
Superior vena cava
Internal medicine
medicine
Humans
Thrombolytic Therapy
Radiology, Nuclear Medicine and imaging
Renal Insufficiency, Chronic
business.industry
Thrombolysis
Middle Aged
medicine.disease
Thrombosis
Recombinant Proteins
Surgery
Lower Extremity
Pancreatitis
Tissue Plasminogen Activator
Acute Disease
Cardiology
Acute pancreatitis
Female
medicine.symptom
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 10510443
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Vascular and Interventional Radiology
- Accession number :
- edsair.doi.dedup.....bfc90b271f90c92a57d1a9c08e7e60e0