[The long-term results after Hydrolyser-supported angioplasty--a prospective study].
OBJECTIVE
Data of a three-year follow-up after mechanical thrombolysis with the Hydrolyser catheter were evaluated. Patients have otherwise been treated by local thrombolysis.


METHODS
35 patients were treated by thrombolysis, balloon angioplasty, aspiration, local thrombolysis, and stent placement, if necessary. Morphological results following Hydrolyser treatment and additional treatment were evaluated.


RESULTS
Following Hydrolyser treatment a significant reduction of the degree and length of the occlusion was observed. Primary clinical success was 80%. Patency rate after 3 years was 0.5. 23% of all patients died in the follow-up period.


CONCLUSIONS
The Hydrolyser treatment is a relevant alternative to local thrombolysis. This method reduces the time of treatment. The authors favor the lateral opening of the catheter to remove mural thrombus.
Beyer-Enke
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SA
Institut für diagnostische und interventionelle Radiologie, Städt. Klinikum Nürnberg-Nord. mfge@vz.mail-uni.erlangen.de
Deichen
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J
Zeitler
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D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000706:statistics & numerical data; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000706:statistics & numerical data; D002908:Chronic Disease; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011859:Radiography; D017131:Thrombectomy / Q000295:instrumentation* / Q000706:statistics & numerical data; D013923:Thromboembolism / Q000175:diagnosis / Q000628:therapy; D013997:Time Factors; D014463:Ultrasonography