Document Detail


Ultrasound thrombolysis.
MedLine Citation:
PMID:  18462769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasound energy for thrombolysis dates back to 1976. Trubestein et al. demonstrated first in vitro that a rigid wire delivery low frequency ultrasound energy could disrupt clot. These investigators also showed that this system had potential for peripheral arterial clot dissolution in vivo in animal studies [G. Trubestein, C. Engel, F. Etzel, Clinical Science 51 (1976) 697s-698s]. Subsequently, four basic approaches to ultrasonic thrombolysis have been pursued--two without pharmacological agents: (1) catheter-delivered external transducer ultrasound, (2) transcutaneous-delivered HIFU external ultrasound without drug delivery and ultrasound in conjunction with thrombolytic drugs and/or microbubbles or other agents, (3) Catheter-delivered transducer-tipped ultrasound with local drug delivery, and (4) transcutaneous-delivered low frequency ultrasound with concomitant systemic (intravenous) drug delivery for site specific ultrasound augmentation. This article reviews recent data on therapeutic ultrasound for thrombolysis in vitro, in vivo, in animal studies, as well as in human clinical trials.
Authors:
Robert J Siegel; Huai Luo
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-03-28
Journal Detail:
Title:  Ultrasonics     Volume:  48     ISSN:  1874-9968     ISO Abbreviation:  Ultrasonics     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-09-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0050452     Medline TA:  Ultrasonics     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  312-20     Citation Subset:  IM    
Affiliation:
Cedars-Sinai Medical Center, Cardiac Noninvasive Laboratory, David Geffen School of Medicine at UCLA, 8700 Beverly Boulevard, Room 5623, Los Angeles, CA 90048, USA. siegel@cshs.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Clinical Trials as Topic
Coronary Thrombosis / therapy
Drug Delivery Systems / instrumentation
Equipment Design
Equipment Safety
Fibrinolytic Agents / administration & dosage
Humans
Microbubbles
Myocardial Infarction / therapy
Thrombolytic Therapy / instrumentation*
Transducers
Ultrasonic Therapy / methods*
Vascular Patency
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents

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


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