Thrombolysis is an appropriate treatment in lead-associated infective endocarditis with giant vegetations located on the right atrial lead
| Autor: | Karin Mueller, Iris I. Mueller, Volker Doernberger, Hans-Joerg Weig, Meinrad Gawaz |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
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medicine.medical_specialty medicine.medical_treatment Tissue plasminogen activator Article Fibrinolytic Agents Internal medicine medicine Endocarditis Humans Cardiac Resynchronization Therapy Devices Propionibacterium acnes Thrombus Ultrasonography business.industry Thrombosis General Medicine Thrombolysis Middle Aged medicine.disease Surgery Anti-Bacterial Agents Infective endocarditis Tissue Plasminogen Activator Cardiology business Fibrinolytic agent medicine.drug |
| Popis: | CD endocarditis is a potentially lethal complication after implantation of permanent pacemakers or implantable cardioverter-defibrillators. Complete extraction of the hardware along with antibiotic treatment is the standard therapy. However, there is no standard procedure in the treatment of lead-associated infective endocarditis with large thrombotic vegetations. The authors present the case of a 60-year-old patient with a large vegetation located on the right atrial lead. Due to a high surgical and thrombembolic risk, especially of acute massive pulmonary embolism, the patient received recombinant tissue plasminogen activator to dissolve the thrombus under echocardiographic monitoring. The thrombotic masses were substantially reduced after thrombolysis. Therefore, standard transvenous extraction of the leads could be performed and high risk cardiac re-operation could be avoided. |
| Databáze: | OpenAIRE |
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