ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Distal aort akut tromboembolik oklüzyonunun endovasküler tedavisi
Mehmet Tuğrul Göncü1, Mesut Engin2, Orhan Güvenç3
1Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
2Department of Cardiovascular Surgery, University of Health Sciences, Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey
3Department of Cardiovascular Surgery, Ağrı State Hospital, Ağrı, Turkey

Dear Editor,

We read the article[1] and congratulate the authors for this successful treatment. On the other hand, we would like to clarify some points about the treatment of this patient.

It is understood from the article that the patient was already intubated before the endovascular procedure and bilateral femoral embolectomy could be also easily done urgently.[2] Thrombolysis and thrombus aspiration could have been used as an appropriate treatment for this patient with saddle embolism.[3] In this case, thrombolytic therapy could be considered before the thrombus aspiration or endovascular intervention. In addition, all femoropopliteal-tibioperoneal arterial structures should be scanned after the procedure. We are curious about your valuable comments about our contribution.

Sincerely,
Declaration of conflicting interests
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Funding
The authors received no financial support for the research and/or authorship of this article.

Author Reply
Dear Editor,

Compared to surgery, endovascular procedure was less invasive and more appropriate for our patient due to hemodynamic instability. In addition, as we noted in the manuscript, tissue plasminogen activator was given locally using a Judkins catheter before the procedure. Finally, we investigated the lower extremity arteries according to the presence of any thrombus material during index procedure.

Correspondence: Mustafa Topuz, MD. Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Kardiyoloji Kliniği, 01260 Yüreğir, Adana, Turkey.

Tel: +90 322 - 455 90 0 0 e-mail: topuzm46@gmail.com