TY - JOUR
T1 - Pancreatitis caused by rheolytic thrombolysis
T2 - An unexpected complication
AU - Danetz, Jeffrey S.
AU - McLafferty, Robert B.
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.
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U2 - 10.1097/01.RVI.0000136994.66646.2F
DO - 10.1097/01.RVI.0000136994.66646.2F
M3 - Article
C2 - 15297590
AN - SCOPUS:4043147808
SN - 1051-0443
VL - 15
SP - 857
EP - 860
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 8
ER -