Thigh Compartment Syndrome After Thrombolytic Therapy of an Occluded Lower Extremity Bypass Graft

Author:

Singh Kuldeep12ORCID,Ruan Qing Zhao1,Schor Jonathan12,Lachhar Garry12,Saha Sumit3ORCID,Deitch Jonathan12

Affiliation:

1. Division of Vascular and Endovascular Surgery, Staten Island University Hospital Northwell Health, Staten Island, NY, USA

2. Zucker School of Medicine, Hofstra/Northwell, Garden City, NY, USA

3. School of Medicine, City University of New York, New York, NY, USA

Abstract

Compartment syndrome is caused by increased pressure within fascial compartment. We present a unique case of a thigh compartment syndrome that occurred after overnight catheter delivered Tissue plasminogen activator (tPA) thrombolysis of an acutely thrombosis femoral-to above knee popliteal artery Propaten® PTFE (WL Gore & Associates, Flagstaff, AZ) bypass graft. The condition was treated by emergency fasciotomy and the patient recovered uneventfully.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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