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Cardiovasc Intervent Radiol · Oct 2017
Case ReportsAortic Aneurysm Rupture After Urokinase Treatment for Acute Limb Ischemia in Two Patients After EVAR.
- Davy R Sudiono, Rigo Hoencamp, Jaap Ottevanger, Daniel Eefting, and Edwin van der Linden.
- Department of Radiology, Haaglanden Medical Center, Lijnbaan 32, PO Box 432, 3000 CA, Den Haag, The Netherlands. d.r.sudiono@mchaaglanden.nl.
- Cardiovasc Intervent Radiol. 2017 Oct 1; 40 (10): 1641-1644.
AbstractEndovascular aneurysm repair (EVAR) is first-choice treatment for many patients with abdominal aortic aneurysms. Complications unique to endovascular treatment include endoleak and endotension, which can eventually lead to rupture. We present two cases of late aortic rupture after EVAR, where both patients had recent preceding catheter-directed thrombolysis with urokinase for acute limb ischemia. These cases suggest a relation between thrombolytic therapy and aortic rupture after EVAR, and we should therefore be aware of this possible complication.
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