{"title":"经导管抢救垂死的格伦——格伦后血栓形成的创新策略。","authors":"Shantanu Jain, Debasree Gangopadhyay, Sabharisundaravel Paulraj, Mahua Roy, Jayitri Mazumdar, Joyeeta Dutta","doi":"10.4103/apc.apc_187_24","DOIUrl":null,"url":null,"abstract":"<p><p>PostGlenn thrombosis is an infrequent, serious complication requiring immediate attention, which is not uncommon in a resource-limited setting where patients are often lost to follow-up and have poor compliance with medications. This rare complication has infrequently been reported in the past. We describe a case of a massive thromboembolic event in a patient presenting acutely in a decompensated state 14 years after initial palliation by Glenn shunt. We report an innovative strategy of using transcatheter mechanical thrombectomy using a rotational thrombectomy device and chemical thrombolysis for the successful salvation of the Glenn circuit.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 5","pages":"372-376"},"PeriodicalIF":0.9000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737623/pdf/","citationCount":"0","resultStr":"{\"title\":\"Transcatheter salvage of dying Glenn - An innovative strategy for postGlenn thrombosis.\",\"authors\":\"Shantanu Jain, Debasree Gangopadhyay, Sabharisundaravel Paulraj, Mahua Roy, Jayitri Mazumdar, Joyeeta Dutta\",\"doi\":\"10.4103/apc.apc_187_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>PostGlenn thrombosis is an infrequent, serious complication requiring immediate attention, which is not uncommon in a resource-limited setting where patients are often lost to follow-up and have poor compliance with medications. This rare complication has infrequently been reported in the past. We describe a case of a massive thromboembolic event in a patient presenting acutely in a decompensated state 14 years after initial palliation by Glenn shunt. We report an innovative strategy of using transcatheter mechanical thrombectomy using a rotational thrombectomy device and chemical thrombolysis for the successful salvation of the Glenn circuit.</p>\",\"PeriodicalId\":8026,\"journal\":{\"name\":\"Annals of Pediatric Cardiology\",\"volume\":\"17 5\",\"pages\":\"372-376\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737623/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Pediatric Cardiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/apc.apc_187_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/12/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Pediatric Cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/apc.apc_187_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Transcatheter salvage of dying Glenn - An innovative strategy for postGlenn thrombosis.
PostGlenn thrombosis is an infrequent, serious complication requiring immediate attention, which is not uncommon in a resource-limited setting where patients are often lost to follow-up and have poor compliance with medications. This rare complication has infrequently been reported in the past. We describe a case of a massive thromboembolic event in a patient presenting acutely in a decompensated state 14 years after initial palliation by Glenn shunt. We report an innovative strategy of using transcatheter mechanical thrombectomy using a rotational thrombectomy device and chemical thrombolysis for the successful salvation of the Glenn circuit.