Local intraarterial thrombolysis: In vitro comparison of various infusion catheters

Jens J. Froelich, Martin Hoppe, Christina Freymann, Thomas Thiel, Hans Joachim Wagner, Klemens H. Barth, Klaus J. Klose

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Catheters are compared in vitro to evaluate the efficacy of thrombolysis during urokinase infusion within the thrombus. Methods: Six catheters were introduced individually into human thrombus within a stenotic flow model. Urokinase was infused continuously into the thrombus. To quantify the efficacy of thrombolysis, pressure gradients were recorded proximal and distal to the thrombus and during the course of infusion. Uniformity of lysis was assessed radiographically. Results: The fastest and most homogeneous thrombolysis was achieved with the EDM and the straight-flush catheter, shown by decreasing transthrombotic pressure gradients. All other catheter designs showed less homogeneous and delayed thrombolysis (p ≤ 0.001, Friedmann- Test, Schaich-Hamerle). There was no significant difference in the efficacy of thrombus dissolution between the EDM and the straight-flush catheter (Wilcoxon, matched pairs, p > 0.7). Conclusion: The EDM catheter and the straight flush catheter achieved the most homogeneous and fastest thrombolysis, apparently due to the best urokinase distribution within the thrombus.

Original languageEnglish (US)
Pages (from-to)369-376
Number of pages8
JournalCardiovascular and interventional radiology
Volume20
Issue number5
DOIs
StatePublished - Sep 1 1997

Keywords

  • Catheters and catherization
  • Flow model
  • Infusion technique
  • Thrombolysis
  • Thrombus
  • Urokinase

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Local intraarterial thrombolysis: In vitro comparison of various infusion catheters'. Together they form a unique fingerprint.

Cite this