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Intra-arterial thrombolysis followed by elective surgery for thrombo-embolic popliteal aneurysms
E Debing1, P Van den Brande, F van Tussenbroek
1Department of Vascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Belgium.
Acta Chirurgica Belgica
|June 1, 1997
Abstract:
Two patients with acute limb-threatening lower extremity ischaemia as a result of a thrombosed and embolizing popliteal artery aneurysm are described. Both patients were successfully treated with intra-arterial thrombolysis and subsequent elective vascular reconstruction. Thrombolysis might be an effective method to identify the underlying cause of limb ischaemia and to recanalize the run-off vessels leading to better bypass patency rates. However, this management is only indicated in selected cases of acute limb ischaemia without motor or sensory deficit.