AW: [HSF] Occluded SVC

[Prasanna Simha M]

Problem is patient  just had  cardiac surgery done.
Prasanna

On Feb 1, 2008 5:35 PM, gustavo abuin <gabuin at intramed.net> wrote:

> another option is to put a Dispache catheter (similar to a pigtail, your
> interventional cardiologist sure has one of it) in the midle of the
> thrombus
> and infuse  rTPA using the Mc Nammara protocol.
>
> rTPA:
> 20mg bolus in 10 minutes
> 70mg in 12 hours, maximum 90mg.
> It must be used rTPA because its low mollecular weight and penetration in
> the thrombus.
> Hope this helps
>
> ----- Original Message -----
> From: "Dr. Roberto Battellini" <battr at medizin.uni-leipzig.de>
> To: <OpenHeart-L at lists.hsforum.com>
> Sent: Friday, February 01, 2008 12:24 AM
> Subject: AW: AW: [HSF] Occluded SVC
>
>
> I heard about some device which could aspirate the thrombus, may be?
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von
> Hgrmd at aol.com
> Gesendet: Freitag, 1. Februar 2008 00:45
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: AW: [HSF] Occluded SVC
>
> Roberto,
>  Yes, I think the SVC is stenotic and thrombosed.  The only  thing against
> stenting is that it is a fresh heart (worry that stent might  rupture SVC
> in
>
> area that I sutured).  Plus, I would also be concerned about  all of the
> clot
> that would be expected in the SVC and the innominate  veins.  On
> ultrasound,
> the
> right IJ is thrombosed as well.
>
> Hal
>
>
>
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-- 
Prasanna Simha M