Abstract
Acute upper-extremity arterial occlusion may be due to embolic phenomena or de novo thrombosis. If the occlusion is left untreated, claudication or ischemia necessitating amputation can occur. Operative Fogarty-balloon embolectomy has been the treatment of choice for this entity. In a 6-year period the authors used f ibrinolysis on nine occasions in eight patients to treat acute upper-extremity arterial occlusions. Concomitant balloon angioplasty was helpful in four cases. Success, defined as a normal hand with at least one artery that was continuously patent to the wrist, was achieved in all patients. A single significant groin hematoma was seen. Neither stroke nor death occurred in any case, and no amputations were necessary. Local transcatheter intraarterial administration of urokinase can be considered a first-line treatment for brachial artery embolus and other causes of acute upper-extremity arterial occlusion.
Original language | English (US) |
---|---|
Pages (from-to) | 393-399 |
Number of pages | 7 |
Journal | RADIOLOGY |
Volume | 175 |
Issue number | 2 |
State | Published - May 1990 |
Keywords
- Arteries, extremities, 91.1274
- Arteries, stenosis or obstruction, 91.77
- Extremities, thrombosis, 91.77
- Fibrinolysis, 91.1274
- Streptokinase, 91.1274
- Thrombosis, arterial, 91.77
- Urokinase, 91.1274
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging