Why the study?
Does high-dose intravenous streptokinase dissolve right atrial thrombus associated with a temporary pacemaker?
Does high-dose intravenous streptokinase dissolve right atrial thrombus associated with a temporary pacemaker?
High-dose intravenous streptokinase can successfully dissolve a right atrial thrombus complicating a temporary transvenous pacemaker.
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May dissolve pacemaker-related right atrial thrombus; single case leaves open questions of safety and efficacy.
Thrombosis of intravascular catheters is a well-recognized and potentially serious complication, which has been treated successfully with thrombolytic agents. A routine echocardiogram in a patient with a temporary transvenous pacemaker demonstrated a large thrombus attached to the pacing electrode. This was dissolved successfully and uneventfully with high-dose intravenous streptokinase therapy. To our knowledge, this is the first report of the successful lysis of a right atrial thrombus complicating a temporary transvenous pacemaker.
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A 1988 study studied this question.
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