Local thrombolysis in femoropopliteal occlusion: Early and late results |
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Authors: | G. E. Wilms R. H. Verheaghe M. M. Pouillon D. Dewaele A. L. Baert J. Vermylen M. Verstraete |
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Affiliation: | (1) Department of Radiology, University of Leuven, Herestraat 49, 3000 Leuven, Belgium;(2) Center for Thrombosis and Vascular Research, University of Leuven, Herestraat 49, 3000 Leuven, Belgium |
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Abstract: | The early and late results of local thrombolysis with low-dose streptokinase followed by balloon dialatation in 64 patients with an occluded femoropopliteal artery are reviewed. The primary success rate was 77% for the native arteries; it was higher (80%) for short (<10 cm) as compared with long occlusion (40%) and for patients with claudication as compared with those with advanced ischemia (89% versus 48%). Eleven complications were observed in 10 patients, most frequently a local hematoma at the puncture site. Ascending thrombosis and absence of lysis or incomplete lysis were the main reasons for failure. The cumulative patency rate after 1 and 2 years follow-up was 87% and 82%, respectively. |
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Keywords: | Arteries, extremities Arteries, transluminal angioplasty Thrombosis, femoral Streptokinase |
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