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Age-related outcome for peripheral thrombolysis
A W Lambert1, D Trkulja, A D Fox
1University Department of Surgery, Royal United Hospital, Bath, U.K.
Objectives:
To investigate the age-related outcome of peripheral thrombolysis and determine for which patient group this treatment is worthwhile.
Design And Methods:
A combined retrospective and prospective analysis of consecutive patients undergoing thrombolysis for acute lower-limb ischaemia was made with respect to age-related outcome and other risk factors.
Results:
One hundred and two patients underwent thrombolysis for acute limb ischaemia. In the under 60 age group there was a 40% amputation rate. Seventy-three per cent of this group smoked. In the over 80 age group, the amputation rate was 15% and only 8% were smokers.
Conclusion:
Advancing age is not an adverse risk factor for thrombolysis which appears to be safe and effective in this patient group. There is a high incidence of smoking in the younger age group (< 60 years), in whom failed thrombolysis frequently leads to amputation.