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Aortic Aneurysm Rupture After Urokinase Treatment for Acute Limb Ischemia in Two Patients After EVAR

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Abstract

Endovascular aneurysm repair (EVAR) is first-choice treatment for many patients with abdominal aortic aneurysms. Complications unique to endovascular treatment include endoleak and endotension, which can eventually lead to rupture. We present two cases of late aortic rupture after EVAR, where both patients had recent preceding catheter-directed thrombolysis with urokinase for acute limb ischemia. These cases suggest a relation between thrombolytic therapy and aortic rupture after EVAR, and we should therefore be aware of this possible complication.

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Authors and Affiliations

  1. Department of Radiology, Haaglanden Medical Center, Lijnbaan 32, PO Box 432, 3000 CA, Den Haag, The Netherlands

    Davy R. Sudiono, Jaap Ottevanger & Edwin van der Linden

  2. Ministry of Defence, Department of Surgery, Alrijne Medical Center, Simon Smitweg 1, Leiderdorp, The Netherlands

    Rigo Hoencamp

  3. Department of Surgery, Haaglanden Medical Center, Lijnbaan 32, Den Haag, The Netherlands

    Daniel Eefting

Authors
  1. Davy R. Sudiono
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  2. Rigo Hoencamp
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  3. Jaap Ottevanger
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  4. Daniel Eefting
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  5. Edwin van der Linden
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Correspondence to Davy R. Sudiono.

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Sudiono, D.R., Hoencamp, R., Ottevanger, J. et al. Aortic Aneurysm Rupture After Urokinase Treatment for Acute Limb Ischemia in Two Patients After EVAR. Cardiovasc Intervent Radiol 40, 1641–1644 (2017). https://doi.org/10.1007/s00270-017-1671-8

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  • DOI: https://doi.org/10.1007/s00270-017-1671-8

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