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Lokale Fibrinolysetherapie von Gefäßverschlüssen im Becken-Bein-Bereich und der oberen Extremität

1987; Thieme Medical Publishers (Germany); Volume: 147; Issue: 01 Linguagem: Inglês

10.1055/s-2008-1048442

1438-9029

Hans H. Schild, C. Schuster, J Grönniger, Wolfram Schmied, L. S. Weilemann, P. Lindner, P. K. Wagner, A Brunier, M. Thelen, Jerrold S. Meyer,

Vascular Procedures and Complications

Seventy-three patients with vascular occlusions in the pelvis or lower limbs and three patients with upper limb lesions were treated by local low dose fibrinolysin, with strict control of any possible bleeding tendencies. Adequate recanalisation was obtained in 56 patients (73.6%). In ten patients, the occlusion recurred while the patient was still in hospital. After four to six months, 37 of the 56 (67%) of the vessels were still patent. In 18 patients, peripheral emboli resulted in some deterioration, but in 15 of these cases this could be treated successfully by operation. The methods and indications of local fibrinolysis therapy and the problems associated with it are discussed.