POPLITEAL ARTERY THROMBOSIS IN A PATIENT WITH COGAN SYNDROME - TREATMENT WITH THROMBOLYSIS AND PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY

A 31-year-old woman with Cogan syndrome (a rare form of systemic vascu litis) was evaluated for a cold, painful left foot with diminished pul ses. Arteriography demonstrated thrombosis of the left popliteal arter y with evidence of vasculitis. Thrombolytic therapy was begun with ini tial success but eventual rethrombosis. After reinitiating thrombolyti c therapy combined with intraarterial vasodilator therapy, successful angioplasty was performed with sustained results at 6-month follow-up.