Streptokinase was administered for femoral artery thrombosis in a 14-month-old girl after complete occlusion of an arterial duct with a Jackson coil. Hemoglobinuria started after femoral artery patency was achieved. Ductal shunting was unimpeded 35 hours after cessation of streptokinase. The problem was resolved by implantation of a second coil.
Get full access to this article
View all access options for this article.
References
1.
TynanM. Transcatheter occlusion of persistent arterial duct: report of the European Registry. Lancet1992;340: 1062–6.
2.
TometzkiAJArnoldRPeartISreeramNAbdulhamedJMGodmanMJTranscatheter occlusion of the patent ductus arteriosus with Cook detachable coils. Heart1996;76: 531–5.
3.
InoTBensonLNFreedomRMBarkerGAAipurskyARoweRD. Thrombolytic therapy for femoral artery thrombosis after pediatric cardiac catheterization. Am Heart J1988;15: 633–9.
4.
AydoganÜCantezTDindarATanmanBErtugrulTOmerogluR. Fibrinolytic therapy for femoral arterial thrombosis after cardiac catheterization in infants and children. J Invas Cardiol1992;4: 445–7.
5.
ChintagumpalaMMSteuberCP. Anticoagulant and thrombolytic agents. In: GarsonAJrBrickerJTFisherDJNeishSR, editors. The science and practice of pediatric cardiology. 2nd ed.Baltimore: Williams & Wilkins, 1998:2541–52.
6.
CheungYFLeungMPChauKT. Early implantation of multiple spring coils for severe haemolysis after incomplete transcatheter occlusion of persistent arterial duct. Heart1997;77: 477–8.
7.
HenryGDanilowiczDVermeR. Severe hemolysis following partial coil occlusion of patent ductus arteriosus. Cathet Cardiovasc Diagn1996;39: 371–2.
8.
LeeCHsiehKHuangTChoongC. Spontaneous resolution of hemolysis after partial coil occlusion of ductus arteriosus. Pediatr Cardiol1999;20: 371–2.