title: Experience of on table modified standard catheters for directed arterial and venous thrombolysis.
abstract: To describe an on-table modification of standard angiography catheters for use in directed arterial and venous thrombolysis. An angiogram is performed and the length of thrombosed vessel (artery or vein) is measured. A 5 or 6 Fr catheter (preferably straight/multi- purpose/vertebral catheter) is modified on table for use by making multiple holes with 23 G needle. After testing ex vivo with saline injection, the on table modified catheter is placed over a wire into the thrombosed segment of the vessel and thrombolytic agent infusion is commenced utilizing a syringe driver after giving a bolus dose of thrombolytic agent. Median duration of thrombolysis was 24 h in our study. We have utilized this method in twenty thrombosed vessels, without any catheter related complications. In our experience, this modification of a standard catheter as a multi-hole catheter is a readily available, simple, cheap, versatile and effective device for directed thrombolysis.
authors.affiliation: Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, 258/A, Bommasandra Industrial Area, Bangalore, 560099, India.
authors.forename: Bhavin
authors.initials: B
authors.lastname: Ram
authors.affiliation: Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, 258/A, Bommasandra Industrial Area, Bangalore, 560099, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Baliga
authors.affiliation: Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, 258/A, Bommasandra Industrial Area, Bangalore, 560099, India.
authors.forename: S
authors.initials: S
authors.lastname: Rajesh
authors.affiliation: Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, 258/A, Bommasandra Industrial Area, Bangalore, 560099, India. drrobbiegeorge@gmail.com.
authors.forename: Robbie K
authors.initials: RK
authors.lastname: George
mesh_terms: D057785:Catheters / Q000191:economics / Q000592:standards*; D004867:Equipment Design / Q000191:economics / Q000379:methods*; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D013594:Syringes; D015912:Thrombolytic Therapy / Q000295:instrumentation* / Q000379:methods; D013927:Thrombosis / Q000628:therapy
chemical_list: D005343:Fibrinolytic Agents
keywords: Arterial thrombosis; Thrombolysis; Thrombolytic catheter; Venous thrombosis