Abstract
Twenty-one patients, 15 males and 6 females aged 52–75 years, with angiographically demonstrated occlusions of the superficial femoral or popliteal arteries, were treated by low-dose urokinase intraarterial infusion. The obstructions were 2–12 months old and from 7 to 18 cm in length. Urokinase was infused at 50,000 U/h; heparin was simultaneously administered by intravenous route in doses of 800 U/h. The average duration of treatment was 18 h. Effective clot lysis was accomplished in 18 cases (85%); 15 patients had underlying stenoses treated by balloon dilatation to prevent rethrombosis. Of the primarily recanalized arteries, two reoccluted within 4 weeks.
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Becker GJ, Rabe FE, Richmond BD (1983) Low-dose fibrinolytic therapy: Results and new concepts. Radiology 148:663–670
Dotter CT, Rosch J, Seaman AJ (1974) Selective clot lysis with low-dose streptokinase. Radiology 11:31–37
Katzen BT, van Breda A (1981) Low-dose streptokinase in the treatment of arterial occlusions. AJR 136:1171–1178
Lammer J, Pilger E, Justich E, Neumayer K, Schreyer H (1985) Fibrinolysis in chronic arteriosclerotic occlusions: Intrathrombotic injections of streptokinase. Radiology 157:45–50
Totty WG, Gilula LA, McClennan BL, Ahmed P, Sherman L (1982) Low-dose intravascular fibrinolytic therapy. Radiology 143:59–69
Wilms GE, Verhaeghe RH, Pouillon MM, Dewaele D, Baert AL, Vermylen J (1987) Local thrombolysis in femoropopliteal occlusion: Early and late results. Cardiovasc Intervent Radiol 10:272–275
Hess H, Mietaschk A, Bruckl R (1987) Peripheral arterial occlusions: A 6-years experience with local low-dose thrombolitic therapy. Radiology 163:753–758
Hess H (1986) Long-term results of local fibrinolysis of femoral-popliteal arterial occlusions. In: What is new in angiology? W. Zuckschwerdt Verlag Munchen, Bern-Wien, pp 174–175
Hess H, Mietaschk A (1986) Six years experience with lowdose local thrombolytic therapy of peripheral arterial occlusions with streptokinase and urokinase. In: What is new in angiology? W. Zuckscwerdt Verlag Munchen, Bern-Wien, pp 197–198
Ad Hoc Committee on Reporting Standards; Society for Vascular Surgery-North American Chapter, Interventional Society for Cardiovascular Research. Suggested standards for reports dealing with lower extremity ischemia. J Vasc Surg 4:80–94
Murray RR Jr, Hewes RC, White RJ Jr, Mitchel SE, Auster M, Chang R, Kadir S, Kinnison ML, Kaufman SL (1987) Long-segment femoropopliteal stenoses: Is angioplasty a boon or a bust? Radiology 162:473–476
Sharma GV, Gella G, Parisi AF, Sasamara AA (1982) Thrombolytic therapy. N Engl J Med 306:21:1268–1275
Mori KW, Bookstein JJ, Heeney DJ (1983) Selective streptokinase infusion: Clinical and laboratory correlates. Radiology 148:677–682
Graor RA, Risius B, Young JR (1984) Low-dose streptokinase for selective thrombolysis: Systemic effects and complications. Radiology 153:35–39
Traughber PD, Cook PS, Micklos TJ, Miller FJ (1987) Intraarterial fibrinolytic therapy for popliteal and tibial artery obstruction: Comparison of streptokinase and urokinase. AJR 149:453–456
Krepel MKV, vanAndel GJ, vanErp WFM, Breslau PJ (1985) Percutaneous transluminal angioplasty of the femoralpopliteal artery: Initial and long-term results. Radiology 156:325–328
Hewes RC, White RI Jr, Murray RR, Kaufman SL, Chang R, Kadir S, Kinnison ML, Mitchell SE, Auster M (1986) Long-term results of superficial femoral artery angioplasty. AJR 146:1025–1029
Verhaeghe R, Wilms G, Povillon M, Dewaele B, Baert A, Verstraete M (1986) Local thrombolysis in femoropliteal occlusion. In: What is new in Angiology? W. Zuckschwerdt Verlag Munchen, Bern-Wien, pp 217–218
Hess H, Ingrish H, Mietaschk A, Rath H (1982) Local lowdose thrombolytic therapy of peripheral arterial occlusions. N Engl J Med 307:26:1627–1630
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Lupattelli, L., Barzi, F., Corneli, P. et al. Selective thrombolysis with low-dose urokinase in chronic arteriosclerotic obstructions. Cardiovasc Intervent Radiol 11, 123–126 (1988). https://doi.org/10.1007/BF02577100
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DOI: https://doi.org/10.1007/BF02577100