Isolated limb perfusion with tissue plasminogen activator for acute hand ischemia.
A 62-year old woman presented with an ischemic hand postoperatively from an open abdominal aortic aneurysm repair. Traditional open embolectomy techniques were attempted but failed < or = 24 hours. She was then taken for isolated limb perfusion with tissue plasminogen activator for ongoing ischemia of the hand. A satisfactory technical result was achieved, and the patient remains with a functional extremity.
Gilani
Ramyar
R
Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Greenberg
Roy K
RK
Johnston
Douglas R
DR
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017128:Embolectomy; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery; D008875:Middle Aged; D010477:Perfusion; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D017131:Thrombectomy; D015912:Thrombolytic Therapy / Q000295:instrumentation; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator