TY  - BOOK
AU  - Alaa Eldin Mahmoud Amin Mohamed
AU  - Ahmed Mohsen Almahrouky , 
AU  - Amr Saleh Elbahaey , 
AU  - Hassan Ahmed Soliman , 
TI  - Role of catheter directed thrombolysis in acute lower limb ischemia / 
PY  - 2017///
CY  - Cairo : 
PB  - Alaa Eldin Mahmoud Amin Mohamed , 
KW  - Acute limb ischemia
KW  - Plasminogen activator
KW  - Thrombolysis
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery; Issued also as CD
N2  - Objective: Acute lower limb ischemia remains a challenging clinical dilemma. The purpose of this study was to assess the short term  outcomes in patients treated for ALI with catheter directed  intra-arterial thrombolysis. Design:  case series. Methods: twenty patients with ALI of the lower extremities treated via endovascular catheter directed thrombolysis were identified and reviewed. Procedural success, duration of ALI,limb salvage and 30-day survival and short-term outcomes were obtained & compared  to other studies. Results: A total number of 20  limbs were treated in 20 patients presenting with ALI (Rutherford class I, class IIa). The follow-up period  was 3 months. Indications for intervention included, thrombosed bypass graft, thrombosed stent  and native artery thrombosis .Technical success was achieved in 70% of cases, with a 30-day mortality rate of 10%. Procedural complications included access site hematoma (20%), and distal embolization (10%). Further surgical revascularization procedures were required in 20% of patients. The overall rate of major amputation was 5% .and the 3 months patency rate was 100% for successful cases. Conclusion:The results of our study reaffirm the belief that thrombolysis remains a safe and effective alternative to surgery for treating ALI. Thrombolysis did not lead to a high rate of bleeding complications as often feared and failure of thrombolysis does not necessarily prevent a successful surgical intervention or lead to amputation
UR  - http://172.23.153.220/th.pdf
ER  -