Successful thrombolysis of left subclavian arterial thrombosis with intravenous bolus dose of tenecteplase

摘要

Arterial occlusions of upper extremity are less common than lower extremity occlusions, and are caused by wide variety of etiologies such as vasospasm, intrinsic arterial disease, inflammatory diseases, non-inflammatory medical diseases, embolism and trauma. The shoulder and elbow tolerate ischemia due to well developed collateral system, hence ischemic symptoms are observed mostly below the elbow. The treatment options include medical management, interventional therapy and surgical embolectomy. Thrombolytic therapy is a viable option, but involves hospitalization, observation and prolonged infusion. We report a case of Subclavian Artery Thrombosis treated successfully with a bolus dose of Tenecteplase.