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Treatment of acute lower limb ischemia following the use of the Duett sealing device: report of three cases and review of the literature.

Abstract：

:Three cases of local thrombolysis in the treatment of acute lower limb ischemia complicating the utilization of the Duett sealing device are presented. Routine usage of several vascular closure devices after cardiac catheterization and percutaneous coronary intervention (PCI) has been adopted in our institution during the last 3 years (September 1999 to April 2003). The Duett closure device has been used in 420 patients (post-coronary angiography, 359; post-PCI, 61). Three patients (0.7%) demonstrated acute leg ischemia used by inadvertent intravascular administration of the sealing material related to this device. All three were treated successfully by catheter-directed local thromolysis (tissue plasminogen activator 5 mg bolus followed initially by 1 mg/hr and consequently by 0.5-1.0 mg/hr depending upon the development of significant hematoma and lasting for 24 hr). In conclusion, interventional treatment using local thrombolysis should be the first-line treatment in acute lower limb ischemia complicating the utilization of the Duett sealing device.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Katsouras CS,Michalis LK,Leontaridis I,Kolettis T,Naka KK,Goudevenos JA,Rees MR,Sideris DA

doi

10.1007/s00270-003-0155-1

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

268-70

issue

3

eissn

0174-1551

issn

1432-086X

journal_volume

27

pub_type

杂志文章

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