Reference : Intra-arterial thrombolysis of thrombosed popliteal artery aneurysm. A series of six cases
Scientific journals : Article
Human health sciences : Surgery
http://hdl.handle.net/2268/65092
Intra-arterial thrombolysis of thrombosed popliteal artery aneurysm. A series of six cases
English
Van Damme, Hendrik [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques]
Trotteur, Geneviève mailto [Université de Liège - ULg > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine) >]
Kerzmann, Arnaud [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie cardio-vasculaire >]
Limet, Raymond [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique]
Dec-2006
Acta Chirurgica Belgica
Acta Medical Belgica
106
6
679-683
Yes (verified by ORBi)
0001-5458
Brussels
[en] popliteal artery aneurysm ; fibrinolysis ; arterial thrombosis
[en] Aim of the study : To evaluate the role of perioperative, catheter-guided fibrinolysis in the management of thrombosed popliteal artery aneurysms. Material : From 1990 to 2005, six patients suffering subacute limb ischemia, secondary to thrombosis of a popliteal artery aneurysm, benefited selective intra-arterial fibrinolysis, followed by subsequent aneurysm exclusion and bypass grafting. This represents ten percent of all popliteal aneurysms operated on in that time period and 28% of all thrombosed popliteal artery aneurysms. Results : The lytic procedure was successful in all cases, restituting patency in two (n = 3), one (n = 2) or all (n = 1) crural arteries. The venous bypass graft remained patent in all but one patient. In one patient, the graft occluded at 10 months without limb loss. This outcome compares more favorable than the result obtained with emergent surgery alone for thrombosed popliteal artery aneurysms with profound limb ischemia (eight patients, of whom one required amputation at day 5 and one lost his limb at nine months following graft thrombosis). Conclusion : Preoperative intra-arterial lytic therapy, in the setting of subacute limb ischemia caused by thrombosis of a popliteal artery aneurysm, can be considered as safe and effective.
http://hdl.handle.net/2268/65092

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