AW: [HSF] Occluded SVC

[Hgrmd at aol.com]

Dear Gabuin (?, please sign your name after you post so we can know who you  
are),
  The low dose TPA option is good to know.  I was unaware that it  could be 
safely administered after 10 postop days.  However, the other  readers have 
pointed out that the presence of permanent pacing leads would  probably cause the 
SVC to just clot again.  Unfortunately, I don't think  there are very many 
good options other than surgery.  The patient continues  to have severe facial 
and upper extremity edema.  He's also had some new  visual disturbances.  I'm 
having an ophthalmologist and a neurologist see  him.  I suspect I'll be taking 
him to the OR soon.
 
Hal



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