| Fibrinolytic therapy for upper-extremity arterial occlusions. | |
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MedLine Citation:
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PMID: 2326466 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute upper-extremity arterial occlusion may be due to embolic phenomena or de novo thrombosis. If the occlusion is left untreated, claudication or ischemia necessitating amputation can occur. Operative Fogarty-balloon embolectomy has been the treatment of choice for this entity. In a 6-year period the authors used fibrinolysis on nine occasions in eight patients to treat acute upper-extremity arterial occlusions. Concomitant balloon angioplasty was helpful in four cases. Success, defined as a normal hand with at least one artery that was continuously patent to the wrist, was achieved in all patients. A single significant groin hematoma was seen. Neither stroke nor death occurred in any case, and no amputations were necessary. Local transcatheter intraarterial administration of urokinase can be considered a first-line treatment for brachial artery embolus and other causes of acute upper-extremity arterial occlusion. |
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Authors:
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D M Widlus; A C Venbrux; J F Benenati; S E Mitchell; A Lynch-Nyhan; F P Cassidy; F A Osterman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 175 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1990 May |
Date Detail:
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Created Date: 1990-05-15 Completed Date: 1990-05-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 393-9 Citation Subset: AIM; IM |
Affiliation:
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Russell H. Morgan Department of Radiology and Radiologic Sciences, Johns Hopkins Medical Institutions, Baltimore, MD 21205-2191. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angiography Arm / blood supply* Axillary Artery / radiography Brachial Artery / radiography Embolism / etiology, radiography, therapy* Female Humans Male Middle Aged Subclavian Artery / radiography Thrombolytic Therapy* / adverse effects Thrombosis / etiology, radiography, therapy* |
| Comments/Corrections | |
Comment In:
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Radiology. 1991 Feb;178(2):580-1
[PMID:
1987630
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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