Local thrombolysis in thrombosis of bypass grafts and prosthesis of lower extremity arteries
The results of treatment of 16 patients with thrombotic occlusion of shunts and prosthesis of abdominal aorta and arteries of the lower extremitiesto examine.Diagnosis of occlusive lesions and monitor the effectiveness of treatment were carried out with the use of ultrasound and angiographic studies. The indications to thrombolysis were no distal arterial bed and the severity of the patients who did not allow a user to arterial reconstruction.Local thrombolysis was performed with the preparation «Urokinase Medak» from 1 to 3 days access through the axillary or femoral artery. Blood flow recovery was obtained in all 16 patients.In 2 cases the hard hematomaof shoulder there was. After the development of preventive measures such complications were observed.After thrombolysis 2 patients died (from myocardial reinfarction and gastrointestinal bleeding).The study found that local thrombolysis is highly effective and low-invasive method of treatment of patients with severe comorbidities, as well as the absence of the distal arterial bed.