Late results of a prospective study of direct intra-arterial urokinase infusion for peripheral arterial and bypass graft occlusions

Chalmers, R. T. A.; Hoballah, Jamal J.; Kresowik, Timothy F.; Synn, Alan Y.; Nakagawa, Nobuo; Sharp, William J.; Corson, John D.

doi:10.1016/0967-2109(95)93879-t

Cited by 26 publications

(12 citation statements)

References 7 publications

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“…Due to the varying nature of the embolic debris, not all rescue procedures are successful, sometimes even resulting in amputation. 11 Rickard et al 21 reported a 37% failure rate for attempted lysis after embolic events, and 8.3% of procedures reported by Chalmers et al 22 required thrombectomy.…”

Section: Discussionmentioning

confidence: 99%

Initial Experience With the 5×300-mm Proteus Embolic Capture Angioplasty Balloon in the Treatment of Peripheral Vascular Disease

Zeller

Schmidt

Rastan

et al. 2012

Journal of Endovascular Therapy

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Section: Discussionmentioning

confidence: 99%

Initial Experience With the 5×300-mm Proteus Embolic Capture Angioplasty Balloon in the Treatment of Peripheral Vascular Disease

Zeller

Schmidt

Rastan

et al. 2012

Journal of Endovascular Therapy

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“…A report on peri-operative distal embolization following intervention for chronic iliac artery occlusion gives a rate of 2.9% [11]. Some reports on distal embolization during intra-arterial thrombolysis have reported rates of 8.3–24% [12, 13]. A report on the use of the Rotarex catheter for acute and subacute femoro-popliteal artery occlusions indicates that distal embolization during recanalization occurred in 24% of cases [14].…”

Section: Discussionmentioning

confidence: 99%

The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery

Kobayashi

Funatsu

Ejima

et al. 2009

Cardiology Research and Practice

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Aims. To determine the efficacy of a new distal protection method in SFA CTO interventions. Methods and Results. From June 2003 to February 2009, ninety-two consecutive, chronic total occlusions of superficial femoral arteries were treated with catheter-based intervention using a bidirectional approach. Nine of these cases were managed with our original, distal protection method, based on symptoms, angiographic images, wire resistance, and intravascular ultrasound images. The average age was 73 years; eight patients were male. The mean occlusion length was 17.1 cm. A distal protection balloon was inserted from the retrograde sheath in the popliteal artery and placed distal to the occluded lesion after successful wire crossing. Lesion dilatation with a balloon was performed antegradely and debris was removed by 6Fr. guiding catheter. Debris was retrieved from all lesions, consisting mainly of thrombus. Where we decided not to use the distal protection method, there was no distal thromboembolism. Conclusion. In SFA-CTO intervention, the risk of distal embolization is 10%, which can be anticipated and eliminated by the distal protection method.

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“…11 Distal embolization during thrombolytic therapy in limb-threatening ischemia is higher. Published studies have reported rates of 3.8 to 37% depending on the risk group [12][13][14] We have found the use of distal protection beneficial in femoropopliteal interventions in three instances: mechanical atherectomy, catheter-directed thrombolysis in acute limb ischemia, and when adjunctive treatment with thrombectomy catheters in performed for acute limb ischemia. 14,15 We also strongly consider use of distal protection in recanalization and standard intervention (angioplasty and stent placement) in certain high-risk patients with limited runoff.…”

Section: Superficial Femoral Arterymentioning

confidence: 98%

“…Several series have described distal embolization during thrombolytic therapy between 3.8 and 37%. 12,13,15 Distal embolization occurs in almost all thrombolysis cases but only becomes apparent as a procedure-related complication in a small subset due to incomplete lysis of fibrinenriched thrombus or due to plaque that becomes dislodged; again, high-risk patients cannot tolerate such hits to limited runoff vessels.…”

Section: Superficial Femoral Arterymentioning

confidence: 99%

Expanding Use of Embolic Protection Devices

Radvany¹,

Wholey²

2008

Semin intervent Radiol

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Embolic protection devices were initially developed for the treatment of saphenous vein aorto-coronary bypass graft stenosis due to the significant risk of atheroembolism, and their use is well accepted. The use of these devices for carotid arterial interventions is also well accepted due to the significant consequences of embolization in the cerebral circulation. The use of these devices is extending to other vascular beds to include the renal arteries and lower extremities. We review the basic principles of these devices and their uses in various vascular beds based on our own experience as well as that in the literature.

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Late results of a prospective study of direct intra-arterial urokinase infusion for peripheral arterial and bypass graft occlusions

Cited by 26 publications

References 7 publications

Initial Experience With the 5×300-mm Proteus Embolic Capture Angioplasty Balloon in the Treatment of Peripheral Vascular Disease

Initial Experience With the 5×300-mm Proteus Embolic Capture Angioplasty Balloon in the Treatment of Peripheral Vascular Disease

The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery

Expanding Use of Embolic Protection Devices

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