Percutaneous management of emboli associated with hot tip laser-assisted angioplasty.
We describe the percutaneous management of emboli that occurred in 3 patients during hot tip laser-assisted angioplasty procedures. One embolus was lysed with direct, local infusion of urokinase using an open-ended guidewire. Another embolus was removed using the transcatheter aspiration technique. The third embolus was partially lysed and then, using a steerable guidewire, displaced placed into a distal side branch. In all 3 cases of embolization, distal blood flow was reestablished using percutaneous techniques, obviating the need for surgical intervention.
Matsumoto
A H
AH
H.C.A. L.W. Blake Hospital, Bradenton, Florida 34209.
Barth
K H
KH
Teitelbaum
G P
GP
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004617:Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007834:Lasers; D008297:Male; D005996:Nitroglycerin / Q000627:therapeutic use; D011150:Popliteal Artery / Q000000981:diagnostic imaging*; D011859:Radiography; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator; D005996:Nitroglycerin