Intra-arterial thrombolysis followed by elective surgery for thrombo-embolic popliteal aneurysms
Debing, E.; Van den Brande, P.; van Tussenbroek, F.; von Kemp, K.; Staelens, I.
Acta Chirurgica Belgica 97(3): 137-140
1997
ISSN/ISBN: 0001-5458 PMID: 9224519 Document Number: 480703
Two patients with acute limb-threatening lower extremity ischaemia as a result of a thrombosed and embolizing popliteal artery aneurysm are described. Both patients were successfully treated with intra-arterial thrombolysis and subsequent elective vascular reconstruction. Thrombolysis might be an effective method to identify the underlying cause of limb ischaemia and to recanalize the run-off vessels leading to better bypass patency rates. However, this management is only indicated in selected cases of acute limb ischaemia without motor or sensory deficit.