Document Detail

Endovascular management of subacute lower extremity ischemia.
MedLine Citation:
PMID:  19073306     Owner:  NLM     Status:  MEDLINE    
Patients presenting with >14 days lower extremity ischemia are usually considered as chronic; however, patients with subacute (>14 days and <3 months) and chronic (>3 months) occlusions often have organizing thrombus. This is not considered in current recommendations for the treatment of nonacute leg ischemia and, with the increased use of endovascular interventions, more complex lesions with long occlusions are treated percutaneously. Thrombolysis alone has been reported to successfully decrease this clot load in a significant proportion of patients with subacute occlusions, and percutaneous thrombectomy devices were suggested as a means to decrease the hemorrhagic complications associated with thrombolysis. However, distal embolization remains a problem, which these interventions are intended to prevent. In this article, we aim to review the current literature on the endovascular treatment of patients with subacute arterial occlusions, and review our experience.
Hasan H Dosluoglu; Linda M Harris
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in vascular surgery     Volume:  21     ISSN:  0895-7967     ISO Abbreviation:  Semin Vasc Surg     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809602     Medline TA:  Semin Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  167-79     Citation Subset:  IM    
Division of Vascular Surgery, Department of Surgery, VA Western NY Healthcare System, Buffalo, NY 14215, USA.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon* / adverse effects,  instrumentation
Arterial Occlusive Diseases / complications,  radiography,  therapy*
Combined Modality Therapy
Embolism / etiology,  prevention & control
Hemorrhage / etiology,  prevention & control
Ischemia / etiology,  radiography,  surgery*
Lower Extremity / blood supply*
Middle Aged
Popliteal Artery* / radiography
Practice Guidelines as Topic
Thrombectomy* / adverse effects,  instrumentation
Thrombolytic Therapy* / adverse effects
Thrombosis / complications,  radiography,  therapy*
Time Factors
Treatment Outcome
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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