title: [Local low-dose streptokinase therapy of shunt thrombosis in chronic hemodialysis patients].
abstract: In two patients undergoing haemodialysis on account of a thrombosis of the saphena transplant a local thrombolytic treatment with 50,000 units Awelysin was performed 2--3 times a day. In the two cases after 4 or 5 days a recanalisation developed, in one patient, however, a new thrombosis developed. As prerequisite for the success a sufficiently high shunt flow before the thrombosis is regarded. The exact coagulation-physiological control in the transposition phase from heparin to oral anticoagulants is particularly important.
mesh_terms: D000328:Adult; D004691:Endarterectomy; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy* / Q000209:etiology
chemical_list: D006493:Heparin; D013300:Streptokinase
vernacular_title: Lokale niedrig dosierte Streptokinase-Therapie von Shunt-Thrombosen bei chronischen Hämodialyse-Patienten.