Systemic Thrombolytic Therapy for Stroke After Transcaval Transcatheter Aortic Valve Replacement

Autor:	Thomas A. Haldis, Matt Glogoza, Cornelius M. Dyke, Steven Smedhammer
Rok vydání:	2018
Předmět:	medicine.medical_specialty Aorta Transcatheter aortic Interventional cardiology business.industry medicine.medical_treatment medicine.disease Amplatzer device Stenosis Valve replacement Internal medicine medicine.artery cardiovascular system medicine Cardiology business Stroke
Zdroj:	Journal of the Minneapolis Heart Institute Foundation. 2:31-33
ISSN:	2475-0204 2475-0190
Popis:	An 80-year-old male with aortic stenosis underwent transcatheter aortic valve replacement through a transcaval approach. The aorta was closed with an Amplatzer device without retroperitoneal leak or fistula. The patient developed a stroke three hours after the procedure and was treated with tissue plasminogen activator. Imaging after thrombolytic therapy revealed no aortic extravasation from the puncture site. To our knowledge, this demonstrates the first case in which thrombolytic therapy was used after transcaval access to the abdominal aorta for transcatheter aortic valve replacement and suggests that patients without leak after transcaval aortic closure, thrombolytic therapy is not contraindicated.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::3040988d8e31d05e2ee36822d46d468f https://doi.org/10.21925/mplsheartjournal-d-18-00012.1 Zobrazit plný text záznamu