Popliteal artery thrombosis in a patient with Cogan syndrome: treatment with thrombolysis and percutaneous transluminal angioplasty

D E Bastug; A Dominic; O Ortiz; A G DiBartolomeo; J M Kotzan; F M Abraham

doi:10.1007/s002709900110

Popliteal artery thrombosis in a patient with Cogan syndrome: treatment with thrombolysis and percutaneous transluminal angioplasty

Cardiovasc Intervent Radiol. 1997 Jan-Feb;20(1):57-9. doi: 10.1007/s002709900110.

Authors

D E Bastug¹, A Dominic, O Ortiz, A G DiBartolomeo, J M Kotzan, F M Abraham

Affiliation

¹ Department of Radiology, West Virginia University, Robert C. Byrd Health Sciences Center, Morgantown 26506-9235, USA.

PMID: 8994726
DOI: 10.1007/s002709900110

Abstract

A 31-year-old woman with Cogan syndrome (a rare form of systemic vasculitis) was evaluated for a cold, painful left foot with diminished pulses. Arteriography demonstrated thrombosis of the left popliteal artery with evidence of vasculitis. Thrombolytic therapy was begun with initial success but eventual rethrombosis. After reinitiating thrombolytic therapy combined with intraarterial vasodilator therapy, successful angioplasty was performed with sustained results at 6-month follow-up.

Publication types

Case Reports

MeSH terms

Adult
Angioplasty, Balloon / instrumentation*
Combined Modality Therapy
Drug Therapy, Combination
Female
Humans
Nitroglycerin / administration & dosage
Popliteal Artery* / diagnostic imaging
Radiography
Recurrence
Syndrome
Thrombolytic Therapy / instrumentation*
Thrombosis / diagnostic imaging
Thrombosis / therapy*
Urokinase-Type Plasminogen Activator / administration & dosage
Vasculitis / diagnostic imaging
Vasculitis / therapy*

Substances

Urokinase-Type Plasminogen Activator
Nitroglycerin