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Post-traumatic intraarterial thrombolytic treatment for acute occlusion of the extremities artery

WANG Guang-ju,LIU Bin,LI Feng-wu,FAN Yu-hong,LI Xiao-zhen,DU Li-xia.Department of Radiology,General Hospital of Fushun Coal Mine Bureau,Fushun 113008,Liaoning,China  
Objective To explore the clinical value of intraarterial thrombolytic therapy for acute arterial occlusion of the extremities artery after trauma.Methods Six cases with acute arterial occlusion of the extremities after trauma underwent intraarterial thrombolytic therapy and the efficiency was analysed.Results Digital Subtraction Angiograph(DSA)clearly displayed the location,extent and dimensions of the occlusive extremity arteries.All the occlusive arteries were recanalized with successful rate of 100%.4 cases appeared to have ischemia-reperfusion injury after treatment,outcoming with recovery in one case by musculoaponeuratic splitting,and 3 cases through medication;and simultaneously the pulse of the occlusive arteries returned to normal and the local pains reduced or disapeared afterwards;without serious complications of necrosis,hemorrhage etc.Conclusions The intraarterial thrombolytic treatment of acute arterial occlusion of the extremities after trauma is safe,effective,minimal invasive and less complication;providing the preparation for further stent placement.
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