Percutaneous Site-Specific Pharmacomechanical Thrombolysis-Thrombectomy System for Bilateral Acute Limb Ischemia

被引：0

作者：

Gupta, Raghav ^{[1
]}

Gautam, Archana ^{[1
]}

Hennebry, Thomas A. ^{[1
]}

机构：

[1] Univ Oklahoma, Hlth Sci Ctr, Cardiovasc Sect, Oklahoma City, OK USA

来源：

JOURNAL OF INVASIVE CARDIOLOGY | 2011年 / 23卷 / 02期

关键词：

acute limb ischemia; thrombolysis; Trellis; percutaneous thrombectomy; DEEP VENOUS THROMBOSIS; MECHANICAL THROMBECTOMY;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute limb ischemia (ALI) remains a life-threatening condition. Studies with catheter-directed thrombolysis and percutaneous mechanical thrombectomy systems show modest improvements in mortality compared to surgery but with pitfalls of major bleeding, distal embolization, recurrent thrombosis, prolonged thrombolytic infusion and increased overall cost. We present a unique and therapeutically challenging case of bilateral acute lower limb ischemia that was managed percutaneously in one setting by a novel technique using site-specific (isolated) pharmaco-mechanical thrombolysis-thrombectomy (IPMT) system.

引用

页码：81 / 83

页数：3

共 12 条

[1] Aggressive percutaneous mechanical thrombectomy of deep venous thrombosis - Early clinical results [J].

Arko, Frank R. ;

Davis, Charles M. ;

Murphy, Erin H. ;

Smith, Stephen T. ;

Timaran, Carlos H. ;

Modrall, Gregory ;

Valentine, R. James ;

Clagett, G. Patrick .

ARCHIVES OF SURGERY, 2007, 142 (06) :513-518

[2] Operative mortality and long-term survival of patients operated on for acute lower limb ischaemia [J].

Aune, S ;

Trippestad, A .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1998, 15 (02) :143-146

[3]

Dormandy J, 1999, Semin Vasc Surg, V12, P148

[4]

Kasirajan K, 2003, J ENDOVASC THER, V10, P317, DOI 10.1583/1545-1550(2003)010<0317:TTTSIT>2.0.CO

[5]

[6] The use of mechanical thrombectomy devices in the management of acute peripheral arterial occlusive disease [J].

Kasirajan, K ;

Haskal, J ;

Ouriel, K .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2001, 12 (04) :405-411

[7]

Neuzil DF, 2007, ARCH SURG-CHICAGO, V142, P518

[8]

OURIAL K, 2006, VASCULAR MED COMPANI, P669

[9] A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs [J].

Ouriel, K ;

Veith, FJ ;

Sasahara, AA .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (16) :1105-1111

[10] Recommended standards for reports dealing with lower extremity ischemia: Revised version [J].

Rutherford, RB ;

Baker, JD ;

Ernst, C ;

Johnston, KW ;

Porter, JM ;

Ahn, S ;

Jones, DN .

JOURNAL OF VASCULAR SURGERY, 1997, 26 (03) :517-538

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