Isolated limb perfusion with tissue plasminogen activator for acute hand ischemia.

Gilani, Ramyar; Greenberg, Roy K; Johnston, Douglas R · J Vasc Surg · 2009

case_report · Level V

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Abstract

A 62-year old woman presented with an ischemic hand postoperatively from an open abdominal aortic aneurysm repair. Traditional open embolectomy techniques were attempted but failed < or = 24 hours. She was then taken for isolated limb perfusion with tissue plasminogen activator for ongoing ischemia of the hand. A satisfactory technical result was achieved, and the patient remains with a functional extremity.

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