Outcome of catheter directed thrombolysis for popliteal or infrapopliteal acute arterial occlusion

Abdelaty, Mohammed Hassan; Aborahma, Amr; Elheniedy, Mohammed Ahmed; Kamhawy, Adel Husseiny

doi:10.1007/s12928-020-00702-1

Cited by 3 publications

(4 citation statements)

References 30 publications

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“…The novel percutaneous mechanical thrombectomy devices have not shown satisfactory results in small arteries (13). Catheter-directed thrombolysis have benefitable results with alteplase (13). However appropriate catheter size was inaccesible for our case in such emergent situtation.…”

Section: Discussionmentioning

confidence: 78%

“…Because the embolectomy catheters reach proximally and distally to the entire arterial bed with a proximal pulsatile flow and adequate backflow from both radial and ulnar arteries, thrombolysis was not considered during the embolectomy procedures for our case. The novel percutaneous mechanical thrombectomy devices have not shown satisfactory results in small arteries (13). Catheter-directed thrombolysis have benefitable results with alteplase (13).…”

Section: Discussionmentioning

confidence: 99%

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A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

Erkul

Parlar

et al. 2021

Annals of Vascular Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

Erkul

Parlar

et al. 2021

Annals of Vascular Surgery

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“…This resulted in a major amputation rate of 14%. 8) Endovascular and surgical approaches yield similar and acceptable limb salvage and survival rates. However, the involvement of tibial arteries was significantly negatively associated with surgical thromboembolectomy.…”

Section: Discussionmentioning

confidence: 99%

Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan

Kikuchi,

Ohira,

Doita

et al. 2024

Annals of Vascular Diseases

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The Indigo Aspiration System (Penumbra Ltd., Alameda, CA, USA), a catheter-based device intended for the endovascular removal of clots from peripheral arteries and veins, was launched in Japan to treat acute limb ischemia after the cessation of urokinase sales. The initial application of this system in Japan was on a 96-year-old male patient. He was diagnosed with acute lower limb ischemia, which was caused by an embolism from a left common iliac artery aneurysm. The treatment significantly enhanced the perfusion to his left foot. This case report elaborates on the patient’s treatment experience and discusses the indications for using the device.

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“…Сучасна медицина має в своєму арсеналі різні способи вирішення даної проблеми. Це і традиційні відкриті втручання, новітні ендоваскулярні технології, гібридні та тромболітичні методи лікування [11,12,13,14]. В даній статті ми проаналізували власний досвід застосування різних методів лікування при різних етіологічних причинах гострого тромбозу артерій підколінно-гомілкового сегменту, їх ефективність та результат.…”

Section: клінічна медицинаunclassified

Surgical Treatment of Acute Thrombosis Arteries of Infrapopliteal Segment

Hupalo¹,

Nabolotnyi

Kulikovskyi

et al. 2021

Clin. and prev. med.

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Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.

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Outcome of catheter directed thrombolysis for popliteal or infrapopliteal acute arterial occlusion

Cited by 3 publications

References 30 publications

A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan

Surgical Treatment of Acute Thrombosis Arteries of Infrapopliteal Segment

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