Intra-arterial thrombolysis followed by elective surgery for thrombo-embolic popliteal aneurysms.
Two patients with acute limb-threatening lower extremity ischaemia as a result of a thrombosed and embolizing popliteal artery aneurysm are described. Both patients were successfully treated with intra-arterial thrombolysis and subsequent elective vascular reconstruction. Thrombolysis might be an effective method to identify the underlying cause of limb ischaemia and to recanalize the run-off vessels leading to better bypass patency rates. However, this management is only indicated in selected cases of acute limb ischaemia without motor or sensory deficit.
Debing
E
E
Department of Vascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Belgium.
Van den Brande
P
P
van Tussenbroek
F
F
von Kemp
K
K
Staelens
I
I
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000008:administration & dosage*; D011150:Popliteal Artery; D011859:Radiography; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D015912:Thrombolytic Therapy / Q000379:methods*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator