PERCUTANEOUS THROMBOASPIRATION AND CATHETER DIRECTED THROMBOLYSIS IN ACUTE LOWER LIMB ISCHEMIA
Abstract:
We report a case of a female patient with paroxysmal atrial fibrillation (CHADS2 score of
5) and acute lower limb ischemia, where we proceeded percutaneous thrombus aspiration, catheter
directed thrombolysis and percutaneous transluminal angioplasty, having a very good result. Acute
arterial occlusion is a challenge to physicians and early proper diagnosis and treatment is crucial. An
interventional cardiovascular treatment avoided leg loss. Follow up revealed normal clinical exam,
no symptoms of peripheral artery disease and arteriography showed no significant stenosis. Ankle
brachial index of right foot before interventional treatment was 0.3, after percutaneous thrombus
aspiration, catheter directed thrombolysis and percutaneous balloon angioplasty being 1.1. The
patient was discharged with optimum anticoagulant therapy to prevent further arterial occlusion.
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