title: Successful intraarterial thrombolysis of an ischemic limb four days after laparoscopic cholecystectomy.
abstract: Intraarterial thrombolysis is usually contraindicated after abdominal surgery because of the risk of bleeding. However, it is a highly effective treatment for embolic acute limb ischemia, particularly for clearing the distal vessels. We report a case in which intraarterial thrombolysis was safely used 4 days after laparoscopic cholecystectomy in a patient with an acutely ischemic leg due to embolus.
authors.affiliation: Department of Surgery, United Medical and Dental Schools of Guy's and St. Thomas' Hospitals, Guy's Hospital, St. Thomas Street, London SE1 9RT, UK.
authors.forename: A J
authors.initials: AJ
authors.lastname: Sandison
authors.forename: R A
authors.initials: RA
authors.lastname: Edmondson
authors.forename: Y
authors.initials: Y
authors.lastname: Panayiotopoulos
authors.forename: J F
authors.initials: JF
authors.lastname: Reidy
authors.forename: I
authors.initials: I
authors.lastname: McColl
authors.forename: P R
authors.initials: PR
authors.lastname: Taylor
mesh_terms: D000208:Acute Disease; D000368:Aged; D000792:Angiography; D017081:Cholecystectomy, Laparoscopic; D000075202:Contraindications; D004617:Embolism / Q000188:drug therapy; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D007269:Injections, Intra-Arterial; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy*; D007866:Leg / Q000098:blood supply*; D010960:Plasminogen Activators / Q000008:administration & dosage; D015912:Thrombolytic Therapy; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage
chemical_list: D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator