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Accelerated thrombolysis and angioplasty for hand ischemia in Buerger's disease

E V Lang1, J J Bookstein

  • 1Department of Radiology, University of California, San Diego.

A patient with severe hand ischemia due to Buerger's disease was treated by a rapidly effective modification of percutaneous catheterization. Accelerated mechanical and pharmacologic thrombolysis of an occluded palmar arch with 200,000 U urokinase and subsequent small vessel angioplasty abolished pain and restored digital perfusion within 40 min.

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