[Value of intraoperative lysis therapy as an adjuvant measure after late surgical embolectomy]

Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:435-6.
[Article in German]

Abstract

The effect of intraoperative local fibrinolysis after delayed catheterembolectomy (CE) of occluded arteries was examined in a model in the dogs hind limb; the superficial femoral artery was occluded by a rapid injection of an autologeous blood clot and ligation. Embolectomy was performed 24 h after occlusion with or without additional local fibrinolysis (urocinase, r-tPA). The success of revascularisation was estimated by measurement of the total periphereal resistance. There happened a total re-occlusion in all vessels within 48 h if only CE was performed; in contrast after additional fibrinolysis a complete revascularisation could be achieved.

Publication types

  • English Abstract

MeSH terms

  • Combined Modality Therapy
  • Embolism / surgery*
  • Humans
  • Ischemia / surgery*
  • Leg / blood supply*
  • Recombinant Proteins / administration & dosage
  • Thrombolytic Therapy / methods*
  • Thrombosis / surgery*
  • Tissue Plasminogen Activator / administration & dosage
  • Urokinase-Type Plasminogen Activator / administration & dosage

Substances

  • Recombinant Proteins
  • Tissue Plasminogen Activator
  • Urokinase-Type Plasminogen Activator