Abstract
Newborns with vascular catheters must be investigated by echocardiogram for intracardiac thrombosis. We report the use of urokinase to treat an asymptomatic right atrial thrombus in a 31 weeks' gestation newborn; the thrombosis occurred after placement of a catheter in the umbilical vein. We obtained a safe and successful thrombolysis using urokinase 4000 U/kg/h in continuous infusion.
MeSH terms
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Catheterization, Peripheral / adverse effects*
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Echocardiography
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Gestational Age
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Heart Atria / diagnostic imaging
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Heart Diseases / diagnostic imaging
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Heart Diseases / drug therapy*
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Heart Diseases / etiology
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Humans
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Infant, Newborn
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Male
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Thrombolytic Therapy / methods*
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Thrombosis / diagnostic imaging
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Thrombosis / drug therapy*
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Thrombosis / etiology
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Umbilical Veins*
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Urokinase-Type Plasminogen Activator / administration & dosage*
Substances
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Urokinase-Type Plasminogen Activator