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Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of Fallot using the AngioJet rheolytic catheter

✍ Scribed by L.S. Kokov; A.N. Korostelev; A.N. Grinko; M.V. Ilyina; G.V. Solopova; E. Aiazian; C.M. Setum

Publisher: John Wiley and Sons
Year: 2001
Tongue: English
Weight: 215 KB
Volume: 53
Category: Article
ISSN: 1522-1946
DOI: 10.1002/ccd.1210

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✦ Synopsis

Abstract

The modified Blalock‐Taussig shunt is the palliative treatment of choice for tetralogy of Fallot. Shunt thrombosis is a potential complication, requiring high‐risk reoperation. The use of percutaneous rheolytic devices for thrombus removal in such occluded shunts has not been previously reported. We describe a case in which use of a rheolytic catheter resulted in significant thrombus removal and rapid reversal of cyanosis and dyspnea in a 5‐year‐old patient. The patient remains free of symptoms at 30‐day follow‐up. Cathet Cardiovasc Intervent 2001;53:504–507. © 2001 Wiley‐Liss, Inc.

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