Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin
Tromboliza okludiranog femoropoplitealnog grafta lokalno primenjenim humanim plazminom
2014
Authors
Nenezić, DragoslavRadak, Đorđe
Jocić, Dario
Gajin, Predrag
Tanasković, Slobodan
Novaković, Aleksandra
Matić, Predrag
Article (Published version)
Metadata
Show full item recordAbstract
Introduction Acute lower limb ischemia results from thrombosis or embolization of diseased native artery or previously implanted bypass graft. When this occurs, several options are available to restore blood flow: catheter-directed thrombolysis, mechanical thrombectomy or open surgery. Fundamental reasons to apply percutaneous interventions are avoiding open procedures in high risk patients, and avoiding difficult dissection through scar tissue. Case Outline A 67-year-old male was admitted at our Institution for critical limb ischemia. After performed angiography the diagnosis of occluded femoropopliteal graft was established. Occlusion was resolved by catheter-directed thrombolysis with plasmin. Culprit lesions were treated by angioplasty. Conclusion Our patient underwent a successful thrombolysis of occluded femoropopliteal graft with locally-delivered human plasmin.
Uvod Ishemija donjih ekstremiteta je posledica tromboze ili embolizacije obolele nativne arterije ili implantiranog grafta. Postoji nekoliko načina lečenja ishemije: tromboliza kateterom, mehanička trombektomija i hirurško lečenje. Osnovni razlozi za primenu perkutanih intervencija jeste izbegavanje klasičnog hirurškog lečenja kod bolesnika s visokim rizikom, kao i izbegavanje preparisanja krvnog suda u ožiljku. Prikaz bolesnika Muškarac star 67 godina primljen je u bolnicu zbog kritične ishemije donjih ekstremiteta. Po učinjenoj angiografiji dijagnostikovana je tromboza femoropoplitealnog grafta. Okluzija je rešena primenom plazmina uz upotrebu intraarterijskog katetera. Stenoze koje su otkrivene posle trombolize lečene su angioplastikom. Zaključak Trombolizom uz primenu plazmina i intraarterijskog katetera uspešno je izlečena okluzija femoropoplitealnog grafta.
Keywords:
percutaneous intervention / catheter-directed thrombolysis / human plasmin / femoropopliteal bypass / perkutane intervencije / tromboliza kateterom / humani plazmin / femoropoplitealni graftSource:
Srpski arhiv za celokupno lekarstvo, 2014, 142, 5-6, 342-346Publisher:
- Srpsko lekarsko društvo, Beograd
DOI: 10.2298/SARH1406342N
ISSN: 0370-8179
WoS: 000339231200012
Scopus: 2-s2.0-84924247683
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PharmacyTY - JOUR AU - Nenezić, Dragoslav AU - Radak, Đorđe AU - Jocić, Dario AU - Gajin, Predrag AU - Tanasković, Slobodan AU - Novaković, Aleksandra AU - Matić, Predrag PY - 2014 UR - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2287 AB - Introduction Acute lower limb ischemia results from thrombosis or embolization of diseased native artery or previously implanted bypass graft. When this occurs, several options are available to restore blood flow: catheter-directed thrombolysis, mechanical thrombectomy or open surgery. Fundamental reasons to apply percutaneous interventions are avoiding open procedures in high risk patients, and avoiding difficult dissection through scar tissue. Case Outline A 67-year-old male was admitted at our Institution for critical limb ischemia. After performed angiography the diagnosis of occluded femoropopliteal graft was established. Occlusion was resolved by catheter-directed thrombolysis with plasmin. Culprit lesions were treated by angioplasty. Conclusion Our patient underwent a successful thrombolysis of occluded femoropopliteal graft with locally-delivered human plasmin. AB - Uvod Ishemija donjih ekstremiteta je posledica tromboze ili embolizacije obolele nativne arterije ili implantiranog grafta. Postoji nekoliko načina lečenja ishemije: tromboliza kateterom, mehanička trombektomija i hirurško lečenje. Osnovni razlozi za primenu perkutanih intervencija jeste izbegavanje klasičnog hirurškog lečenja kod bolesnika s visokim rizikom, kao i izbegavanje preparisanja krvnog suda u ožiljku. Prikaz bolesnika Muškarac star 67 godina primljen je u bolnicu zbog kritične ishemije donjih ekstremiteta. Po učinjenoj angiografiji dijagnostikovana je tromboza femoropoplitealnog grafta. Okluzija je rešena primenom plazmina uz upotrebu intraarterijskog katetera. Stenoze koje su otkrivene posle trombolize lečene su angioplastikom. Zaključak Trombolizom uz primenu plazmina i intraarterijskog katetera uspešno je izlečena okluzija femoropoplitealnog grafta. PB - Srpsko lekarsko društvo, Beograd T2 - Srpski arhiv za celokupno lekarstvo T1 - Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin T1 - Tromboliza okludiranog femoropoplitealnog grafta lokalno primenjenim humanim plazminom VL - 142 IS - 5-6 SP - 342 EP - 346 DO - 10.2298/SARH1406342N ER -
@article{ author = "Nenezić, Dragoslav and Radak, Đorđe and Jocić, Dario and Gajin, Predrag and Tanasković, Slobodan and Novaković, Aleksandra and Matić, Predrag", year = "2014", abstract = "Introduction Acute lower limb ischemia results from thrombosis or embolization of diseased native artery or previously implanted bypass graft. When this occurs, several options are available to restore blood flow: catheter-directed thrombolysis, mechanical thrombectomy or open surgery. Fundamental reasons to apply percutaneous interventions are avoiding open procedures in high risk patients, and avoiding difficult dissection through scar tissue. Case Outline A 67-year-old male was admitted at our Institution for critical limb ischemia. After performed angiography the diagnosis of occluded femoropopliteal graft was established. Occlusion was resolved by catheter-directed thrombolysis with plasmin. Culprit lesions were treated by angioplasty. Conclusion Our patient underwent a successful thrombolysis of occluded femoropopliteal graft with locally-delivered human plasmin., Uvod Ishemija donjih ekstremiteta je posledica tromboze ili embolizacije obolele nativne arterije ili implantiranog grafta. Postoji nekoliko načina lečenja ishemije: tromboliza kateterom, mehanička trombektomija i hirurško lečenje. Osnovni razlozi za primenu perkutanih intervencija jeste izbegavanje klasičnog hirurškog lečenja kod bolesnika s visokim rizikom, kao i izbegavanje preparisanja krvnog suda u ožiljku. Prikaz bolesnika Muškarac star 67 godina primljen je u bolnicu zbog kritične ishemije donjih ekstremiteta. Po učinjenoj angiografiji dijagnostikovana je tromboza femoropoplitealnog grafta. Okluzija je rešena primenom plazmina uz upotrebu intraarterijskog katetera. Stenoze koje su otkrivene posle trombolize lečene su angioplastikom. Zaključak Trombolizom uz primenu plazmina i intraarterijskog katetera uspešno je izlečena okluzija femoropoplitealnog grafta.", publisher = "Srpsko lekarsko društvo, Beograd", journal = "Srpski arhiv za celokupno lekarstvo", title = "Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin, Tromboliza okludiranog femoropoplitealnog grafta lokalno primenjenim humanim plazminom", volume = "142", number = "5-6", pages = "342-346", doi = "10.2298/SARH1406342N" }
Nenezić, D., Radak, Đ., Jocić, D., Gajin, P., Tanasković, S., Novaković, A.,& Matić, P.. (2014). Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin. in Srpski arhiv za celokupno lekarstvo Srpsko lekarsko društvo, Beograd., 142(5-6), 342-346. https://doi.org/10.2298/SARH1406342N
Nenezić D, Radak Đ, Jocić D, Gajin P, Tanasković S, Novaković A, Matić P. Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin. in Srpski arhiv za celokupno lekarstvo. 2014;142(5-6):342-346. doi:10.2298/SARH1406342N .
Nenezić, Dragoslav, Radak, Đorđe, Jocić, Dario, Gajin, Predrag, Tanasković, Slobodan, Novaković, Aleksandra, Matić, Predrag, "Thrombolysis of occluded femoropopliteal graft with locally delivered human plasmin" in Srpski arhiv za celokupno lekarstvo, 142, no. 5-6 (2014):342-346, https://doi.org/10.2298/SARH1406342N . .