| Endovascular management of subacute lower extremity ischemia. | |
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MedLine Citation:
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PMID: 19073306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hasan H Dosluoglu; Linda M Harris |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in vascular surgery Volume: 21 ISSN: 0895-7967 ISO Abbreviation: Semin Vasc Surg Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-16 Completed Date: 2009-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8809602 Medline TA: Semin Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 167-79 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Department of Surgery, VA Western NY Healthcare System, Buffalo, NY 14215, USA. dosluoglu@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon* / adverse effects, instrumentation Arterial Occlusive Diseases / complications, radiography, therapy* Combined Modality Therapy Embolism / etiology, prevention & control Female Hemorrhage / etiology, prevention & control Humans Ischemia / etiology, radiography, surgery* Lower Extremity / blood supply* Male Middle Aged Popliteal Artery* / radiography Practice Guidelines as Topic Stents 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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