Intraarterial Peroperative Thrombolysis in Therapy of the Acute Limb Ischemia

Czech version

Authors: P. Baláž; S. Rokošný; J. Chlupáč; L. Janoušek; M. Adamec
Authors‘ workplace: Cévní oddělení, Klinika transplantační chirurgie, IKEM Praha, přednosta: prof. MUDr. M. Adamec, CSc.
Published in: Rozhl. Chir., 2011, roč. 90, č. 1, s. 55-58.
Category: Monothematic special - Original

Overview

Acute limb ischemia is serious situation, jeopardizing limb salvage, causing embolization or trombosis of the native arteries or vascular graft. Immediate surgical revascularization with baloon tromboembolectomy is indicated in patient with acute ischemia stage IIB of the Rutherford clasification. Unfortunately, operative thromboembolectomy is frequently incomplete, with persistent thrombus remaining in the majority of patients. Residual thrombus compromises the clinical outcome, leading to poor revascularization and an increased risk of tissue loss. On depending of amount of the residual trombus after surgical tromboembolectomy, we can choose one of the three options of intraoperative thrombolysis. This article summarized indication and technical realisation of intraoperative thrombolysis and describe cause report of the first patient treated with this method in our country. The combined use of intraoperative thrombolytics following mechanical thromboembolectomy is safe and efficacious method in patients with acute vascular occlusion.

Key words:
acute ischemia – tromb/embolectomy - thrombolysis

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