title: [Catheterization therapy of thromboembolic arterial occlusions of the lower extremities].
abstract: Thromboembolic occlusions of peripheral arteries may threaten the vitality of extremities and sometimes patients life. Till recently the main therapeutic method was Fogarty surgical thromboembolectomy. A less invasive procedure is systemic (intravenous) and local (intraarterial) thrombolysis. All these method have, however, certain disadvantages. A new approach to the treatment for acute and subacute occlusions of peripheral arteries represents catheter thromboembolectomy, which involves the following: a) Aspiration of thromboembolic material--percutaneous thrombembolextraction (PTEE), b) Local infiltration thrombolysis where the catheter penetrates through the occlusion while simultaneously administering a fibrinolytic agent, c) PTA of residual stenosis in case of thrombotic occlusion. A combination of these methods of treatment for thromboembolic occlusions of peripheral arteries is very effective and enables to use a small amount of thrombolytic agent. The thrombosis and the underlying atherosclerotic stenosis are resolved during the same session.
authors.affiliation: II. interní klinika 1. LF UK a VFN, Praha.
authors.forename: F
authors.initials: F
authors.lastname: Stanĕk
authors.forename: D
authors.initials: D
authors.lastname: Karetová
authors.forename: J
authors.initials: J
authors.lastname: Kvasnicka
authors.forename: J
authors.initials: J
authors.lastname: Krivánek
authors.forename: R
authors.initials: R
authors.lastname: Keclík
authors.forename: D
authors.initials: D
authors.lastname: Tesar
mesh_terms: D002406:Catheterization, Peripheral; D006801:Humans; D007866:Leg / Q000098:blood supply*; D013923:Thromboembolism / Q000628:therapy*; D015912:Thrombolytic Therapy
vernacular_title: Katetrizacní lécba trombembolických uzávĕrů tepen dolních koncetin.