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Floating aortic thrombus: the endovascular approach

W-J Metsemakers, J Duchateau, Filip Vanhoenacker UGent, Y Tielemans and J De Leersnyder (2013) ACTA CHIRURGICA BELGICA. 113(1). p.47-50
abstract
Case report : We report a 71-year-old obese white female who presented with sudden right calf pain after-a long distance flight. Symptoms were initially regarded as venous in origin. Duplex investigation ruled out deep vein thrombosis. Ultimately she presented to our department with complaints of claudication. Clinical evaluation and a new duplex scan showed occlusion of the right popliteal artery. Further evaluation with CT-angiography showed, besides occlusion of the right popliteal artery, a floating thrombus in the infrarenal abdominal aorta. The thrombus was treated with a bare-metal stent placed through a femoral approach. CT-scans at 1 and 3 months demonstrated complete exclusion of the thrombus. The claudication of the right calf resolved spontaneously. Floating thrombus of the infrarenal abdominal aorta is a rare cause of distal arterial embolisation. CT-scan with contrast enhancement is the preferred diagnostic technique. Endovascular repair seems to be the treatment of choice and in our opinion a covered stent is not required. Anticoagulation therapy needs to be guided on an individual patient basis.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
THORACIC AORTA, MOBILE THROMBUS, INFRARENAL AORTA, ABDOMINAL-AORTA, MURAL THROMBUS, EMBOLIZATION, ANTICOAGULATION, ISCHEMIA, THERAPY
journal title
ACTA CHIRURGICA BELGICA
Acta Chir. Belg.
volume
113
issue
1
pages
47 - 50
Web of Science type
Article
Web of Science id
000316235100010
JCR category
SURGERY
JCR impact factor
0.44 (2013)
JCR rank
186/204 (2013)
JCR quartile
4 (2013)
ISSN
0001-5458
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3145286
handle
http://hdl.handle.net/1854/LU-3145286
date created
2013-02-26 17:50:34
date last changed
2016-12-19 15:43:45
@article{3145286,
  abstract     = {Case report : We report a 71-year-old obese white female who presented with sudden right calf pain after-a long distance flight. Symptoms were initially regarded as venous in origin. Duplex investigation ruled out deep vein thrombosis. Ultimately she presented to our department with complaints of claudication. Clinical evaluation and a new duplex scan showed occlusion of the right popliteal artery. Further evaluation with CT-angiography showed, besides occlusion of the right popliteal artery, a floating thrombus in the infrarenal abdominal aorta. The thrombus was treated with a bare-metal stent placed through a femoral approach. CT-scans at 1 and 3 months demonstrated complete exclusion of the thrombus. The claudication of the right calf resolved spontaneously. Floating thrombus of the infrarenal abdominal aorta is a rare cause of distal arterial embolisation. CT-scan with contrast enhancement is the preferred diagnostic technique. Endovascular repair seems to be the treatment of choice and in our opinion a covered stent is not required. Anticoagulation therapy needs to be guided on an individual patient basis.},
  author       = {Metsemakers, W-J and Duchateau, J and Vanhoenacker, Filip and Tielemans, Y and De Leersnyder, J},
  issn         = {0001-5458},
  journal      = {ACTA CHIRURGICA BELGICA},
  keyword      = {THORACIC AORTA,MOBILE THROMBUS,INFRARENAL AORTA,ABDOMINAL-AORTA,MURAL THROMBUS,EMBOLIZATION,ANTICOAGULATION,ISCHEMIA,THERAPY},
  language     = {eng},
  number       = {1},
  pages        = {47--50},
  title        = {Floating aortic thrombus: the endovascular approach},
  volume       = {113},
  year         = {2013},
}

Chicago
Metsemakers, W-J, J Duchateau, Filip Vanhoenacker, Y Tielemans, and J De Leersnyder. 2013. “Floating Aortic Thrombus: The Endovascular Approach.” Acta Chirurgica Belgica 113 (1): 47–50.
APA
Metsemakers, W-J, Duchateau, J., Vanhoenacker, F., Tielemans, Y., & De Leersnyder, J. (2013). Floating aortic thrombus: the endovascular approach. ACTA CHIRURGICA BELGICA, 113(1), 47–50.
Vancouver
1.
Metsemakers W-J, Duchateau J, Vanhoenacker F, Tielemans Y, De Leersnyder J. Floating aortic thrombus: the endovascular approach. ACTA CHIRURGICA BELGICA. 2013;113(1):47–50.
MLA
Metsemakers, W-J, J Duchateau, Filip Vanhoenacker, et al. “Floating Aortic Thrombus: The Endovascular Approach.” ACTA CHIRURGICA BELGICA 113.1 (2013): 47–50. Print.