A case is presented which demonstrates the occasional need for selective intra- arterial streptokinase when re-thrombosis has occurred following catheter thromboem bolectomy of a peripheral artery. It is recommended that repeat embolectomy be carried out and all mechanical causes for re-thrombosis be excluded before resorting to fi brinolysis.
The literature citing other indications for selective arterial use of streptokinase is reviewed.
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