Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Feb;36(2):726-730.
doi: 10.1111/jocs.15229. Epub 2020 Dec 18.

A case study on thrombolytic treatment of acute aortic saddle embolism using bilateral femoral arterial puncture catheter

Yan-Lei Zhu  1 , Hong-Ru Deng  1 , Mi Zhou  1 , Mingxuan Li  1 , Lei Chen  1
Affiliations
Case Reports

A case study on thrombolytic treatment of acute aortic saddle embolism using bilateral femoral arterial puncture catheter

Yan-Lei Zhu et al. J Card Surg. 2021 Feb.

Abstract

Although peripheral arterial embolism is a common vascular disease, abdominal aortic saddle embolism (ASE) is rare. However, ASE is considered to be quite severe. A rapid and accurate diagnosis followed by timely and appropriate medical intervention is the key to minimize the risk of severe complications and reduce the risk of mortality. We report the case of an 84-year-old female patient who was diagnosed with acute ASE. She was successfully treated using thrombolytic therapy through a bilateral femoral arterial puncture catheter. Our report aims at raising awareness of this potentially fatal disease, highlighting the importance of rapid diagnosis and timely treatment, and exploring the possibility of endovascular treatment for ASE in the future.

Keywords: aortic saddle embolism; endovascular treatment; ischemia-reperfusion injury; myonephropathic-metabolic syndrome; rivaroxaban; thrombolytic therapy.

PubMed Disclaimer

References

REFERENCES

    1. Johnston RB, Jr., Cohn EJ, Jr., Cotlar AM. Acute embolic occlusion of the distal aorta. Curr Surg. 2003;60:191-192.
    1. Ding X, Liu Y, Su Q, Hu S, Jiang J. Diagnosis and treatment of aortic saddle embolism. Ann Vasc Surg. 2019;56:124-131.
    1. Rutherford RB. Clinical staging of acute limb ischemia as the basis for choice of revascularization method: when and how to intervene. Semin Vasc Surg. 2009;22:5-9.
    1. Busuttil RW, Keehn G, Mill1ken J, et al. Aortic saddle embolus. A twenty-year experience. Ann Surg. 1983;197:698-706.
    1. Dossa CD. Acute aortic occlusion. A 40-year experience. Arch Surg. 1994;129:603-607.

Publication types

Substances

LinkOut - more resources