Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of Fallot using the AngioJet rheolytic catheter. |
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| Authors: | L S Kokov A N Korostelev A N Grinko M V Ilyina G V Solopova E Aiazian C M Setum |
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| Affiliation: | Departments of Roentgenovascular Surgery and Heart Surgery, A.V. Vishevski Institute of Surgery, Moscow, Russia. |
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| 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. |
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| Keywords: | thrombectomy tetralogy of Fallot Blalock‐Taussig shunt AngioJet rheolytic catheter |
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