Successful intraarterial thrombolysis of an ischemic limb four days after laparoscopic cholecystectomy.
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.
Sandison
A J
AJ
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.
Edmondson
R A
RA
Panayiotopoulos
Y
Y
Reidy
J F
JF
McColl
I
I
Taylor
P R
PR
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
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator