Conventional absolute contraindications to catheter-directed thrombolysis include active or recent hemorrhage and the presence of local vascular infection, both of which increase the risk of procedure-related complications such as bleeding and systemic sepsis. For this reason, lytic therapy of arterial thromboembolism under these circumstances is generally precluded. Herein, we describe a uniqu...

We report this case of effort thrombosis of the upper extremity (Paget-Schroetter syndrome) caused by hypertrophied muscles. This unusual cause of extrinsic venous compression and intimal injury leading to thrombosis was treated uniquely with good outcome. Untreated symptomatic patients can sustain long-term disability from venous obstruction resulting in significant loss of occupational produc...

A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization of the stent by the transjugular approach was unsuccessful, ultrasound-guided entry to the splenic vein and portal vein was used. After catheter-directed intr...

A rare case of a patient who had an uncommon complication of deep vein thrombosis (DVT) and intraperitoneal hemorrhage after thrombolysis following laparoscopic Varicocelectomy (LV) is reported in this paper. The patient was a 31-year-old man, experienced the treatment with bilateral LV because of infertility. Color Doppler Ultrasound (CDU) showed DVT, and then percutaneous implantation of infe...

Paget-Schroetter syndrome (PSS) is a rare form of thoracic outlet syndrome caused by axillosubclavian vein thrombosis which typically presents in healthy young adults. Prompt therapy, traditionally by means of catheter-directed thrombolysis (CDT) prior to definitive surgery, can prevent the subsequent onset of postthrombotic syndrome (PTS) and considerable disability. As CDT is associated with ...

thrombolysis for stroke is being used in some developing countries. this study was designed to evaluate the problems of thrombolysis therapy in iran. during january-july 2008, all patients with ischemic stroke admitted to ghaem hospital, mashhad, northeast iran, were enrolled in a prospective observational study. ghaem hospital is a tertiary care hospital that includes infrastructure for thromb...