Successful Selective Thrombolysis for Limb-Threatening Ischemia due to Bilateral Lower Extremity Emboli After Open Aortic Aneurysm Repair
Severe lower extremity emboli with occlusion of all 3 lower limb arteries bilaterally occurred after an elective open abdominal aortic aneurysm (AAA) repair. Selective thrombolysis with alteplase and repeated percutaneous transluminal angioplasty (PTA) along the occlusions on both side anterior and posterior tibial arteries was performed without complications. Angiography the following day showed