title: [Local intraarterial thrombolysis].
abstract: The treatment of acute and subacute arterial occlusions poses a difficult clinical problem. Local intra-arterial thrombolysis can be a useful therapeutic alternative. The most commonly used thrombolytic agents are considered. In the treatment of artery or graft occlusions in the lower extremities, the best results are achieved if the occlusion is proximal, short and recent. The authors discuss selection of patients, technique and results. In the coronary arteries the time factor is crucial. Local intracoronary thrombolysis is used most often as an adjunctive treatment to balloon angioplasty and stent implantation. Good run-off and correction of the flow-limiting lesion greatly improves the outcome in both the peripheral and coronary arteries.
authors.affiliation: Røntgenavdelingen, Aker sykehus, Oslo.
authors.forename: G
authors.initials: G
authors.lastname: Sandbaek
authors.forename: M
authors.initials: M
authors.lastname: Brekke
mesh_terms: D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000075202:Contraindications; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015912:Thrombolytic Therapy / Q000379:methods*
chemical_list: D005343:Fibrinolytic Agents
vernacular_title: Lokal intraarteriell trombolyse.