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  • Title: Streptokinase dissolution of a right atrial thrombus associated with a temporary pacemaker.
    Author: May KJ, Cardone JT, Stroebel PP, Riba AL.
    Journal: Arch Intern Med; 1988 Apr; 148(4):903-4. PubMed ID: 3355310.
    Abstract:
    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.
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