Cardiovascular revascularization medicine : including molecular interventions
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Cardiovasc Revasc Med · Jul 2021
Case ReportsSuccessful thrombolysis of acute upper limb ischemia using ekosonic endovascular system ultrasound catheter in a patient with atrial fibrillation.
Acute upper limb ischemia is considered a vascular emergency. These events are mostly thromboembolic and are often detected in patients with atrial fibrillation (AF). Surgical thrombectomy and percutaneous mechanical thrombectomy are the usual methods to treat this medical emergency. ⋯ Then an EKOS Catheter was delivered to the occlusion area and was placed for 6 h. Symptoms of ischemia were resolved, and the angiographic control showed normal flow in the axillary artery. The patient was discharged without any local deficits of the right hand.
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Cardiovasc Revasc Med · Jul 2021
Case ReportsTransvenous retrieval of a pulmonary artery catheter knot around pacing leads: A case report.
Pulmonary Artery Catheter (PAC) knotting is a rare complication of PAC insertion. In patients with dilated right heart chambers, blind insertion of PAC significantly increases the risk of catheter knotting. We demonstrate a safe and successful approach to resolving a PAC knot around pacing leads of a cardiac resynchronization device. ⋯ To highlight a potential complication of blind pulmonary artery catheter insertion and provide a safe technique to resolve catheter knots.