Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report-Reference-Cited by-同舟云学术

Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

Published:2020-01 Issue: Volume:8 Page:2050313X2090674
ISSN:2050-313X
Container-title:SAGE Open Medical Case Reports
language:en
Short-container-title:SAGE Open Medical Case Reports

Author:

Shannon Nicholas Brian¹,Kumar Pradesh²,Tay Kiang Hiong²,Tan Sia Yang²,Chng Siew Ping¹,Tay Hsien Tsung¹^ORCID

Affiliation:

1. Department of Vascular and Endovascular Surgery, Singapore General Hospital, Singapore

2. Department of Vascular and Interventional Radiology, Singapore General Hospital, Singapore

Abstract

A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/2050313X20906741

Reference17 articles.

1. Trends in the incidence, treatment, and outcomes of acute lower extremity ischemia in the United States Medicare population

2. Results of a Prospective Randomized Trial Evaluating Surgery Versus Thrombolysis for Ischemia of the Lower Extremity The STILE Trial

3. A Comparison of Recombinant Urokinase with Vascular Surgery as Initial Treatment for Acute Arterial Occlusion of the Legs

4. Spontaneous epidural hematoma of spine associated with clopidogrel: A case study and review of the literature