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血栓渗入主动脉根部：使用输注导管进行移植物内溶栓后的一种并发症。

Extravasation of thrombus into the aortic root: a complication following use of an infusion catheter for intragraft thrombolysis.

作者信息

Caputo R P, Cohen D J, Baim D S, Kuntz R E

机构信息

Department of Medicine, Beth Israel Hospital Boston, Massachusetts 02215, USA.

出版信息

Cathet Cardiovasc Diagn. 1996 Mar;37(3):263-6. doi: 10.1002/(SICI)1097-0304(199603)37:3<263::AID-CCD8>3.0.CO;2-A.

DOI:10.1002/(SICI)1097-0304(199603)37:3<263::AID-CCD8>3.0.CO;2-A
PMID:8974802
Abstract

Overnight chronic urokinase infusion was used to successfully treat thrombotic occlusion of a saphenous vein graft. Following removal of the infusion catheter, a 3-cm linear thrombus was observed extending from the graft into the ascending aorta. This mobile thrombus was successfully treated with coumadinization for 9 wk. Potential preventive measures for this complication of indwelling catheters are discussed.

摘要

采用尿激酶过夜持续输注成功治疗了大隐静脉移植血管的血栓闭塞。拔除输注导管后，观察到一段3厘米长的线性血栓从移植血管延伸至升主动脉。通过9周的华法林抗凝治疗成功消除了这段可移动血栓。文中讨论了留置导管这一并发症的潜在预防措施。

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