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  • Clinical/Perinatal Neonatal Case Presentation
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Clinical Perinatal/Neonatal Case Presentation

Successful Lysis of an Obstructive Aortic and Renal Artery Thrombus in a Neonate on Extracorporeal Membrane Oxygenation

Journal of Perinatology volume 20, pages 555–557 (2000)Cite this article

Abstract

We describe a neonate on venoarterial extracorporeal membrane oxygenation (ECMO) with acute renal failure associated with extensive aortic and bilateral renal artery thrombosis. Concurrent anticoagulation and continuous systemic thrombolytic therapy with tissue plasminogen activator (t-PA) resulted in complete thrombolysis as evaluated by Doppler flow. The relative risk and benefits of thrombolytic therapy in heparinized patients undergoing ECMO needs to be further studied.

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Authors and Affiliations

  1. Department of Pediatrics, The Children's Hospital of Buffalo and State University of New York at Buffalo, Buffalo, NY

    Björn Gunnarsson, Christopher MB Heard, Martin L Brecher & Robin H Steinhorn

  2. Department of Anesthesiology, The Children's Hospital of Buffalo and State University of New York at Buffalo, Buffalo, NY

    Christopher MB Heard

  3. Department of Radiology, The Children's Hospital of Buffalo and State University of New York at Buffalo, Buffalo, NY

    David J Martin

Authors
  1. Björn Gunnarsson
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  2. Christopher MB Heard
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  3. David J Martin
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  4. Martin L Brecher
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  5. Robin H Steinhorn
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Additional information

Presented at the 15th Annual CNMC Symposium on ECMO and Advanced Respiratory Failure, Keystone, CO, USA.

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Gunnarsson, B., Heard, C., Martin, D. et al. Successful Lysis of an Obstructive Aortic and Renal Artery Thrombus in a Neonate on Extracorporeal Membrane Oxygenation. J Perinatol 20, 555–557 (2000). https://doi.org/10.1038/sj.jp.7200466

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  • DOI: https://doi.org/10.1038/sj.jp.7200466

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