A novel approach to thrombectomy and catheter directed tissue-type plasminogen activator in a toddler post-fontan

Vaishnavi Divya Nagarajan; Laura A. Miller-Smith; Yoshi O. Otaki; Ashok Muralidaran; Grant Burch; Laurie Armsby; Becky J. Riggs

doi:10.1016/j.ppedcard.2024.101767

A novel approach to thrombectomy and catheter directed tissue-type plasminogen activator in a toddler post-fontan

Vaishnavi Divya Nagarajan, Laura A. Miller-Smith, Yoshi O. Otaki, Ashok Muralidaran, Grant Burch, Laurie Armsby, Becky J. Riggs

Research output: Contribution to journal › Article › peer-review

Abstract

16-month-old with single ventricle Glenn physiology underwent early placement of an extra-cardiac non-fenestrated Fontan. Post-operative course complicated by a nearly occlusive inferior vena cava thrombus and an intra-Fontan thrombus causing multiorgan system failure. Both thrombi were emergently removed with fluoroscopy, ultrasound, and computer guided clot-aspirator in the pediatric catheterization lab.

Original language	English (US)
Article number	101767
Journal	Progress in Pediatric cardiology
Volume	75
DOIs	https://doi.org/10.1016/j.ppedcard.2024.101767
State	Published - Dec 2024

Keywords

Congenital heart disease
Fontan
Pediatric
Thrombectomy
Thrombosis

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Cardiology and Cardiovascular Medicine

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10.1016/j.ppedcard.2024.101767

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title = "A novel approach to thrombectomy and catheter directed tissue-type plasminogen activator in a toddler post-fontan",

abstract = "16-month-old with single ventricle Glenn physiology underwent early placement of an extra-cardiac non-fenestrated Fontan. Post-operative course complicated by a nearly occlusive inferior vena cava thrombus and an intra-Fontan thrombus causing multiorgan system failure. Both thrombi were emergently removed with fluoroscopy, ultrasound, and computer guided clot-aspirator in the pediatric catheterization lab.",

keywords = "Congenital heart disease, Fontan, Pediatric, Thrombectomy, Thrombosis",

author = "Nagarajan, {Vaishnavi Divya} and Miller-Smith, {Laura A.} and Otaki, {Yoshi O.} and Ashok Muralidaran and Grant Burch and Laurie Armsby and Riggs, {Becky J.}",

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AU - Nagarajan, Vaishnavi Divya

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AU - Otaki, Yoshi O.

AU - Muralidaran, Ashok

AU - Burch, Grant

AU - Armsby, Laurie

AU - Riggs, Becky J.

PY - 2024/12

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N2 - 16-month-old with single ventricle Glenn physiology underwent early placement of an extra-cardiac non-fenestrated Fontan. Post-operative course complicated by a nearly occlusive inferior vena cava thrombus and an intra-Fontan thrombus causing multiorgan system failure. Both thrombi were emergently removed with fluoroscopy, ultrasound, and computer guided clot-aspirator in the pediatric catheterization lab.

AB - 16-month-old with single ventricle Glenn physiology underwent early placement of an extra-cardiac non-fenestrated Fontan. Post-operative course complicated by a nearly occlusive inferior vena cava thrombus and an intra-Fontan thrombus causing multiorgan system failure. Both thrombi were emergently removed with fluoroscopy, ultrasound, and computer guided clot-aspirator in the pediatric catheterization lab.

KW - Congenital heart disease

KW - Fontan

KW - Pediatric

KW - Thrombectomy

KW - Thrombosis

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A novel approach to thrombectomy and catheter directed tissue-type plasminogen activator in a toddler post-fontan

Abstract

Keywords

ASJC Scopus subject areas

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