A patient with severe arterial insufficiency was successfully treated with a combination of intra-arterial low-dose streptokinase and percutaneous trans luminal dilatation. The judicious use of a combination of these two techniques may extend the application of each technique and allow salvage of some severely ischemic extremities.
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References
1.
Andel GJ: Transluminal iliac angioplasty: Long term results. Radiol135:607, 1980.
2.
Colapinto RF, Harries-Jones EP and Johnston KW: Percutaneous transluminal dilatation and recanalization in the treatment of peripheral vascular disease. Radiol135:583, 1980.
3.
Dotter CT: Transluminal angioplasty: A long view. Radiol135:561, 1980.
4.
Greenfield AJ : Femoral, popliteal and tibial arteries: Percutaneous transluminal angioplasty. Am J Roent135:927, 1980.
5.
Katzen BT, Chang J. and Knox G.: Percutaneous transluminal angioplasty with the Gruntzig balloon catheter: A review of 70 cases. Arch Surg114:1389, 1979 .
6.
Sprayregen S. , Sinderman KW, Sos TA, et al: Popliteal artery branches: Percutaneous transluminal angioplasty. Am J Roent135:945, 1980.
7.
Wierny L., Plass R. and Porstmann W.: Long-term results in 100 consecutive patients treated by transluminal angioplasty . Radiol112:543, 1974.
8.
Motarjeme A. , Keifer JW and Zuska AJ: Percutaneous transluminal angioplasty and case selection. Radiol135:573, 1980.
9.
Dotter CT, Rosch J. and Seaman AJ: Selective clot lysis with low-dose streptokinase. Radiol111:31, 1974.
10.
Katzen BT and Breda: Low-dose streptokinase in the treatment of arterial occlusions. Am J Roent136:1171, 1981.
11.
Rubenstein M. and Creger WP: Successful streptokinase therapy for catheter-induced subclavian vein thrombosis. Arch Intern Med140:1370, 1980.
Bell WR and Meek AG: Guidelines for the use of thrombolytic agents. NEJM301:1266, 1979.
14.
Stoney RJ: Ultimate salvage for the patient with limb-threatening ischemia: Realistic goals and surgical considerations. Am J Surg136:228, 1978.
15.
Flinn WR, Flanigan DP, Bergan JJ and Yao JS: Sequential bypass grafting. In: Operative Techniques in Vascular Surgery, ed. by Bergan JJ and Yao JST.New York, Grune-Stratton, Inc., 1980, pp. 151-162.
16.
Blaisdell FW , Steele M. and Allen RE: Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery84:822, 1978.
17.
Athanasoulis CA: Percutaneous transluminal angioplasty: General principles. Am J Roent135:893, 1980.
18.
Horvath L.: Percutaneous transluminal angioplasty: Importance of anticoagulant and fibrinolytic drugs. Am J Roent135:951, 1980.
