Pancreatitis caused by rheolytic thrombolysis: An unexpected complication

Jeffrey S. Danetz, Robert Mclafferty, Juan Ayerdi, Lori A. Rolando, Zachary C. Schmittling, Don E. Ramsey, Kim J. Hodgson

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Two patients developed acute pancreatitis after mechanical thrombolysis with use of the AngioJet system. Patient 1 had undergone a remote complex revascularization of the lower extremities and presented with acute ischemia after thrombosis of his composite distal bypass. Patient 2 presented with superior vena cava (SVC) syndrome and had thrombosis of the SVC and innominate veins. Despite dissimilar presentations, both patients had renal insufficiency, were treated with mechanical and chemical thrombolysis, and had extensive thrombus burden. The pathophysiology of acute pancreatitis in this setting is believed to be secondary to massive hemolysis in the presence of chronic renal insufficiency. This phenomenon should be considered in patients whom develop abdominal pain after mechanical thrombolysis.

Original languageEnglish (US)
Pages (from-to)857-860
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Volume15
Issue number8
StatePublished - Aug 2004
Externally publishedYes

Fingerprint

Mechanical Thrombolysis
Pancreatitis
Superior Vena Cava Syndrome
Thrombosis
Brachiocephalic Veins
Hemolysis
Chronic Renal Insufficiency
Abdominal Pain
Renal Insufficiency
Lower Extremity
Ischemia

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Danetz, J. S., Mclafferty, R., Ayerdi, J., Rolando, L. A., Schmittling, Z. C., Ramsey, D. E., & Hodgson, K. J. (2004). Pancreatitis caused by rheolytic thrombolysis: An unexpected complication. Journal of Vascular and Interventional Radiology, 15(8), 857-860.

Pancreatitis caused by rheolytic thrombolysis : An unexpected complication. / Danetz, Jeffrey S.; Mclafferty, Robert; Ayerdi, Juan; Rolando, Lori A.; Schmittling, Zachary C.; Ramsey, Don E.; Hodgson, Kim J.

In: Journal of Vascular and Interventional Radiology, Vol. 15, No. 8, 08.2004, p. 857-860.

Research output: Contribution to journalArticle

Danetz, JS, Mclafferty, R, Ayerdi, J, Rolando, LA, Schmittling, ZC, Ramsey, DE & Hodgson, KJ 2004, 'Pancreatitis caused by rheolytic thrombolysis: An unexpected complication', Journal of Vascular and Interventional Radiology, vol. 15, no. 8, pp. 857-860.
Danetz JS, Mclafferty R, Ayerdi J, Rolando LA, Schmittling ZC, Ramsey DE et al. Pancreatitis caused by rheolytic thrombolysis: An unexpected complication. Journal of Vascular and Interventional Radiology. 2004 Aug;15(8):857-860.
Danetz, Jeffrey S. ; Mclafferty, Robert ; Ayerdi, Juan ; Rolando, Lori A. ; Schmittling, Zachary C. ; Ramsey, Don E. ; Hodgson, Kim J. / Pancreatitis caused by rheolytic thrombolysis : An unexpected complication. In: Journal of Vascular and Interventional Radiology. 2004 ; Vol. 15, No. 8. pp. 857-860.
@article{0a3619baf5cd48d89d39d0348dab0cdd,
title = "Pancreatitis caused by rheolytic thrombolysis: An unexpected complication",
abstract = "Two patients developed acute pancreatitis after mechanical thrombolysis with use of the AngioJet system. Patient 1 had undergone a remote complex revascularization of the lower extremities and presented with acute ischemia after thrombosis of his composite distal bypass. Patient 2 presented with superior vena cava (SVC) syndrome and had thrombosis of the SVC and innominate veins. Despite dissimilar presentations, both patients had renal insufficiency, were treated with mechanical and chemical thrombolysis, and had extensive thrombus burden. The pathophysiology of acute pancreatitis in this setting is believed to be secondary to massive hemolysis in the presence of chronic renal insufficiency. This phenomenon should be considered in patients whom develop abdominal pain after mechanical thrombolysis.",
author = "Danetz, {Jeffrey S.} and Robert Mclafferty and Juan Ayerdi and Rolando, {Lori A.} and Schmittling, {Zachary C.} and Ramsey, {Don E.} and Hodgson, {Kim J.}",
year = "2004",
month = "8",
language = "English (US)",
volume = "15",
pages = "857--860",
journal = "Journal of Vascular and Interventional Radiology",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - Pancreatitis caused by rheolytic thrombolysis

T2 - An unexpected complication

AU - Danetz, Jeffrey S.

AU - Mclafferty, Robert

AU - Ayerdi, Juan

AU - Rolando, Lori A.

AU - Schmittling, Zachary C.

AU - Ramsey, Don E.

AU - Hodgson, Kim J.

PY - 2004/8

Y1 - 2004/8

N2 - Two patients developed acute pancreatitis after mechanical thrombolysis with use of the AngioJet system. Patient 1 had undergone a remote complex revascularization of the lower extremities and presented with acute ischemia after thrombosis of his composite distal bypass. Patient 2 presented with superior vena cava (SVC) syndrome and had thrombosis of the SVC and innominate veins. Despite dissimilar presentations, both patients had renal insufficiency, were treated with mechanical and chemical thrombolysis, and had extensive thrombus burden. The pathophysiology of acute pancreatitis in this setting is believed to be secondary to massive hemolysis in the presence of chronic renal insufficiency. This phenomenon should be considered in patients whom develop abdominal pain after mechanical thrombolysis.

AB - Two patients developed acute pancreatitis after mechanical thrombolysis with use of the AngioJet system. Patient 1 had undergone a remote complex revascularization of the lower extremities and presented with acute ischemia after thrombosis of his composite distal bypass. Patient 2 presented with superior vena cava (SVC) syndrome and had thrombosis of the SVC and innominate veins. Despite dissimilar presentations, both patients had renal insufficiency, were treated with mechanical and chemical thrombolysis, and had extensive thrombus burden. The pathophysiology of acute pancreatitis in this setting is believed to be secondary to massive hemolysis in the presence of chronic renal insufficiency. This phenomenon should be considered in patients whom develop abdominal pain after mechanical thrombolysis.

UR - http://www.scopus.com/inward/record.url?scp=4043147808&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4043147808&partnerID=8YFLogxK

M3 - Article

C2 - 15297590

AN - SCOPUS:4043147808

VL - 15

SP - 857

EP - 860

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

SN - 1051-0443

IS - 8

ER -