Successful lysis of an obstructive aortic and renal artery thrombus in a neonate on extracorporeal membrane oxygenation

被引:4
|
作者
Gunnarsson B. [1 ,4 ]
Heard C.M.B. [1 ,2 ]
Martin D.J. [3 ]
Brecher M.L. [1 ]
Steinhorn R.H. [1 ]
机构
[1] Department of Pediatrics, Children's Hospital of Buffalo, State Univ. of New York at Buffalo, Buffalo, NY
[2] Department of Anesthesiology, Children's Hospital of Buffalo, State Univ. of New York at Buffalo, Buffalo, NY
[3] Department of Radiology, Children's Hospital of Buffalo, State Univ. of New York at Buffalo, Buffalo, NY
[4] Division of Pediatric Critical Care, Children's Hospital of Buffalo, Buffalo, NY 14222-2099
关键词
D O I
10.1038/sj.jp.7200466
中图分类号
学科分类号
摘要
We describe a neonate on venoarterial extracorporeal membrane oxygenation (ECMO) with acute renal failure associated with extensive aortic and bilateral renal artery thrombosis. Concurrent anticoagulation and continuous systemic thrombolytic therapy with tissue plasminogen activator (t-PA) resulted in complete thrombolysis as evaluated by Doppler flow. The relative risk and benefits of thrombolytic therapy in heparinized patients undergoing ECMO needs to be further studied.
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收藏
页码:555 / 557
页数:2
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