[Combined drug-surgical therapy of acute ischemia syndrome]

Acute ischaemia of the lower leg caused by arterial thrombosis often leads to amputation. Thrombolytic therapy of a distal arterial thrombosis yields unsatisfactory results when lower leg thrombosis is superimposed on chronic superficial femoral artery occlusion. 31 cases of acute ischaemia of the lower leg were initially treated with short bursts of catheter lysis followed by surgical reconstruction. Improved results were obtained through the use of combined medical and surgical treatment.