RESUMEN
"Over-the-wire" thrombolysis was successfully accomplished in eight patients with symptomatic lower-extremity ischemia. The authors used a 5-F catheter with multiple side holes designed to pulse-spray urokinase directly over the guidance of a 0.035-inch guide wire. The mean occlusion length was 11.5 cm (range, 5-27 cm). Complete thrombolysis was achieved after delivery of a mean of 480,000 IU of urokinase in a mean infusion time of 48 minutes. One embolic complication was successfully treated with the catheter-wire system. No bleeding complications occurred. Over-the-wire thrombolysis is an alternative method of administering urokinase for the treatment of arterial occlusions.
Asunto(s)
Arteriopatías Oclusivas/terapia , Pierna/irrigación sanguínea , Terapia Trombolítica/métodos , Activador de Plasminógeno de Tipo Uroquinasa/uso terapéutico , Humanos , Infusiones Intraarteriales , Terapia Trombolítica/instrumentación , Activador de Plasminógeno de Tipo Uroquinasa/administración & dosificaciónRESUMEN
A model for studying the relationship between chronic arachnoiditis and pain sensitivity was developed. Thirty male ICR mice were randomly divided into three groups and the tail-flick test was done using an EMDIE-TF6 apparatus (Emdie Instrument Co., Montpelier, VA). Ten mice were injected intrathecally with 5.0 microL of a kaolin-metrizamide mixture and ten control mice were injected intrathecally with 5.0 microL of an electrolyte solution resembling CSF. A third group, (naive controls) were given no treatment. Six weeks later tail-flick tests were repeated. The kaolin-treated mice had significantly decreased tail-flick latencies (P less than .05) compared with the baseline; the controls had no significant change in tail-flick latency. Histologic examination revealed moderate to severe arachnoiditis in the kaolin-treated animals and no evidence of arachnoid abnormalities in the controls. This study suggests that arachnoiditis may be associated with decreased pain thresholds.
