title: [Local thrombolysis in acute occlusion of a femoropopliteal Gore-Tex bypass].
abstract: Occlusion of a femoro-popliteal Gore-Tex-bypass in two patients could be reopened using local low-dose thrombolytic therapy. Apart from the peripheral outflow effective anticoagulation treatment appears to have a deciding influence on long-term results. Application of the thrombolytic selectively to single vessels of the lower leg as well as a post-lysis effect offer the chance for an improvement in outflow. Combination of local lysis with vessel surgery may be an additional alternative for conservation of the extremities.
mesh_terms: D000208:Acute Disease; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002404:Catheterization; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery; D013300:Streptokinase / Q000008:administration & dosage / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy*
chemical_list: D011138:Polytetrafluoroethylene; D013300:Streptokinase
vernacular_title: Lokale Thrombolyse bei akut verschlossenem femoro-poplitealem Gore-Tex-Bypass.