AW: AW: [HSF] Occluded SVC

[Dr. Roberto Battellini]

Gustavo,
Tell us how ist he Mc Namara protocol, I never used it.
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von gustavo abuin
Gesendet: Freitag, 1. Februar 2008 13:05
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: AW: [HSF] Occluded SVC

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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