Abstract
The introduction of the baloon-tipped catheter by Fogarty et al. (1) in the treatment of acute limb ischemia resulted in improvement both in amputation and mortality rates. However, the excellent results achieved by this method at the early years proved less satisfactory in recent years mainly because of two reasons: firstly, embolic events originate from atherosclerotic heart disease rather than rheumatic as the latter has declined (2, 3) involving advanced age population with associated peripheral arterial disease complicating their management (4). Secondly, a substantial proportion of patients with acute leg ischemia have arterial thrombosis secondary to arteriosclerosis and balloon catheter embolectomy alone is associated with lower limb salvage and higher mortality rate (5, 6).
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References
Fogarty TJ, Cranley JJ, Krause RJ, Strasses FS, Hafner C (1963) A method for extracting arterial emboli and thrombi. Surg Gynecol Obstet 2: 241–4
Darling RC, Austen WC, Linton RR (1967) Arterial embolism. Surg Gynecol Obstet 124: 106
Abbott WM, Maloney RD, McCabe CC (1982) Arterial embolism: a 44 year perspective. Am J Surg 143: 460
Tawes RL, Harris EJ, Brown WH et al. (1985) Arterial thromboembolism: a 20 year perspective. Arch Surg 120: 595–9
Humphries AW, Young JR (1970) The severely ischemic leg. Curr Probl Clin Surg 6: 3–59
Jivegard L, Holm J, Schersten T (1986) The outcome of arterial embolism misdiagnosed as arterial embolism. Acta Chir Scand 152: 251–6
Plecha FR, Pories WT (1972) Intraoperative angiography in the immediate assessment of arterial reconstruction. Arch Surg 105: 902–7
Norem RF, Short DH, Kerstein MD (1988) Role of intraoperative fibrinolytic therapy in acute arterial occlusion. Surg Gynecol Obstet 167: 87–91
Garcia R, Saroyan MR, Senkowsky J, Smith F, Kerstein M (1990) Intraoperative intra-arterial urokinase infusion as an adjunct to Fogarty catheter embolectomy in acute arterial occlusion. Surg Gynecol Obstet 171: 201–5
Quinones-Baldrich WJ, Zierler RE, Hiatt JC (1985) Intraoperative fibrinolytic therapy: an adjunct to catheter thromboembolectomy. J Vase Surg 2: 319–26
Cohen LH, Kaplan M, Bernhard VM (1986) Intraoperative streptokinase: an adjunct to mechanical thrombectomy in the management of acute ischemia. Arch Surg 121: 708–15
Comereta AJ, Rubin RN, Tyson RR, White JV et al. (1987) Intra-arterial thrombolytic therapy in peripheral vascular disease. Surg Gynecol Obstet 165: 1–8
Dacey LT, Dow RW, McDaniel MD et al. (1988) Cost-effectiveness of intra-arterial thrombolytic therapy. Arch Surg 123: 1218–23
Berridge RHS, Gregson BR, Hopkinson, Makin GS (1989) Intra-arterial thrombolysis using recombinant tissue Plasminogen Activator (rt-PA): the optimal agent at the optimal dose? Eur J Vasc Surg 3: 327–32
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© 1998 Springer-Verlag Berlin Heidelberg
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Dayantas, J. (1998). Intraoperative thrombolysis as an adjunct to surgery in acute arterial occlusion. In: Horsch, S., Ktenidis, K. (eds) Critical Limb Ischemia Carotid Surgery. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-53788-2_2
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DOI: https://doi.org/10.1007/978-3-642-53788-2_2
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-7985-1075-3
Online ISBN: 978-3-642-53788-2
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