Therapeutic evaluation of catheter-directed thrombolysis for the treatment of acute arterial ischemia of lower extremities

Guan Hua Xue, Wei Liang, Xiao Zhong Huang, Meng Ye, Peng Wang, Lan Zhang, Hao Zhang, Ji Wei Zhang

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: To evaluate the therapeutic effect and safety of catheter-directed thrombolysis in treating acute arterial ischemia of lower extremities. Methods: From Jan. 1, 2008 to Dec. 31, 2009, a total of 56 patients with acute arterial ischemia of lower extremities, who were encountered at the affiliated Renji hospital of Shanghai Jiaotong University, received catheter-directed thrombolysis treatment with urokinase. The therapeutic effect, safety and complications were observed and analyzed. Results: Of the total 56 cases, complete cure was obtained in 10 (17.8%), effective response in 38 (67.9%) and valueless in 8 (14.3%) with an overall effectiveness of 85.7%. Complications occurred in 11 cases (19.6%). The complications happened in six cases (10.7%) were directly related to the catheter-directed thrombolysis, which included hematoma at puncture site (n = 5, 8.9%) and bleeding due to the rupture of cerebrovascular malformation (n = 1, 1.7%). Conclusion: Catheter-directed thrombolysis is a safe and effective treatment for the acute arterial ischemia of lower extremities.

Original languageEnglish
Pages (from-to)715-717
Number of pages3
JournalJournal of Interventional Radiology
Volume19
Issue number9
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • Artery
  • Catheter-directed thrombolysis
  • Ischemia
  • Lower limb

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