Elsevier

Annals of Vascular Surgery

Volume 12, Issue 5, September 1998, Pages 476-481
Annals of Vascular Surgery

Cocaine-Induced Thrombosis of Common Iliac and Popliteal Arteries

https://doi.org/10.1007/s100169900188Get rights and content

Cocaine-induced thrombosis has been reported in the literature; however, its mechanism is not fully understood. Most cases are of small caliber vessels, such as the coronaries and cerebral vasculature. We report a case of a 36-year-old man with signs and symptoms of acute arterial insufficiency in his right lower extremity. At angiography, the right common iliac artery and the popliteal artery were occluded. The patient was successfully treated with thrombolytic therapy. Cocaine-induced thrombosis should be suspected in a patient with history of cocaine abuse who presents with acute arterial insufficiency in an extremity, without an identifiable source.

References (61)

  • SI Myers et al.

    Chronic intestinal ischemia caused by intravenous cocaine use: Report of two cases and review of the literature

    J Vasc Surg

    (1996)
  • FD Kolodgie et al.

    Increase in atherosclerosis and adventitial mast cells in cocaine abusers: an alternative mechanism of cocaine-associated coronary vasospasm and thrombosis

    J Am Coll Cardiol

    (1991)
  • SH Rezkalla et al.

    Effects of cocaine platelets in healthy subjects

    Am J Cardiol

    (1993)
  • MCY Heng et al.

    Thrombotic phenomena associated with intravenous cocaine

    J Am Acad Dermatol

    (1987)
  • S Moncada et al.

    A lipid peroxide inhibits the enzyme in blood vessel microsomes that generate from prostaglandin endoperoxides the substance (prostaglandin X) which prevents platelet aggregation

    Prostaglandins

    (1976)
  • JA Sharff

    Renal infarction associated with intravenous cocaine use

    Ann Emerg Med

    (1984)
  • CW Barth et al.

    Rupture of the ascending aorta during cocaine intoxication

    Am J Cardiol

    (1986)
  • JC Chen et al.

    Cocaine-induced multiple vascular occlusions: a case report

    J Vasc Surg

    (1996)
  • HL Abelson et al.

    A decade of trends in cocaine use in the household population

    DA Res Monogr

    (1985)
  • LL Cregler et al.

    Medical complications of cocaine abuse

    N Engl J Med

    (1986)
  • National Institute on Drug Abuse
  • SR Levine et al.

    Cocaine and stroke

    Stroke

    (1988)
  • AM Washton et al.

    “Crack”: early report on a new drug epidemic

    Postgrad Med J

    (1986)
  • DC Hueter

    Cardiovascular effects of cocaine

    JAMA

    (1987)
  • LL Cregler et al.

    Myocardial infarction associated with cocaine abuse: a case report

    Tex Heart Inst J

    (1986)
  • L Gould et al.

    Cocaine-induced myocardial infarction

    NY State J Med

    (1985)
  • S Hadjimiltiades et al.

    Coronary arteriographic findings in cocaine abuse-induced myocardial infarction

    Cathet Cardiovasc Diagn

    (1988)
  • RE Howard et al.

    Acute myocardial infarction following cocaine abuse in a young woman with normal coronary arteries

    JAMA

    (1985)
  • JM Isner et al.

    Acute cardiac events temporally related to cocaine abuse

    N Engl J Med

    (1986)
  • JM Rollinger et al.

    Cocaine-induced myocardial infarction

    Can Med Assoc J

    (1986)
  • Cited by (0)

    View full text