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Transcatheter direct thrombolysis for acute upper extremity arterial embolism / 中国介入影像与治疗学
Chinese Journal of Interventional Imaging and Therapy ; (12): 585-589, 2020.
Article in Chinese | WPRIM | ID: wpr-861910
ABSTRACT

Objective:

To observe the clinical effect of transcatheter direct thrombolysis in treatment of acute upper extremity arterial embolism (AUEAE).

Methods:

Eighteen patients with AUEAE (18 limbs) were treated with transcatheter direct thrombolysis, and anticoagulation was performed regularly after operation. The treatment effect and complications were observed.

Results:

The technical successful rate of transcatheter direct thrombolysis was 100% (18/18). After thrombolytic therapy, the symptoms and signs improved, 15 patients (15/18, 83. 33%) were cured, 2 (2/18, 11.11%) became fine and 1 was generally accepted (1/18, 5.56%). The operation time of transcatheter direct thrombolysis was 36-84 (58.83±12.28)h. During the anticoagulation therapy, thrombocytopenia more than 50% occurred in 1 patient. After operation, puncture site hematoma and puncture site femoral artery pseudoaneurysm were observed in 3 cases and 1 case, respectively, and renal function decline occurred in 1 patient, all were alleviated or cured after corresponding treatment.

Conclusion:

The short-term efficacy and safety of transcatheter direct thrombolysis were both good for treating AUEAE.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Interventional Imaging and Therapy Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Interventional Imaging and Therapy Year: 2020 Type: Article