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Article |

Streptokinase Dissolution of a Right Atrial Thrombus Associated With a Temporary Pacemaker

Kenneth J. May Jr, MD; John T. Cardone, MD; Paul P. Stroebel, MD; Arthur L. Riba, MD
Arch Intern Med. 1988;148(4):903-904. doi:10.1001/archinte.1988.00380040143020.
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• Thrombosis of intravascular catheters is a well-recognized and potentially serious complication, which has been treated successfully with thrombolytic agents. A routine echocardiogram in a patient with a temporary transvenous pacemaker demonstrated a large thrombus attached to the pacing electrode. This was dissolved successfully and uneventfully with high-dose intravenous streptokinase therapy. To our knowledge, this is the first report of the successful lysis of a right atrial thrombus complicating a temporary transvenous pacemaker.

(Arch Intern Med 1988;148:903-904)


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