A technique for prolonged arterial infusions of fibrinolytic agents in the immediate postoperative period through a cutaneous venostomy.

Abstract:

:Prolonged use of fibrinolytic agents post thrombectomy is limited by present techniques that require arterial puncture and indwelling arterial catheters. This limitation can be avoided by attaching a short segment of saphenous vein to the arteriotomy used for the thrombectomy and bringing this out to the skin as a "venostomy"; thus providing ready access to the vascular tree for arteriography, prolonged infusion of thrombolytic agents, or selective catheter placement. In delayed thrombectomies (Categories 2 & 3 as described by the Ad Hoc Committee on Reporting Standards, J Vasc Surg 1986;4:80-94), extending the use of these agents may represent the only hope for limb salvage.

journal_name

Ann Vasc Surg

authors

Hutson DG,Nunez AA,Tabbara M,Ginzburg E

doi

10.1007/s100169900089

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

546-9

issue

5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)61596-3

journal_volume

11

pub_type

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