Trombolyt;c Treatment of Perlpheral Arterial and Graft Occluslons

Trombolytic treatment is one of the less invasive methods which can be used in the treatment of thrombosis or em­ bolism. The joined group formed by the Peripheral Arterial Unit of General Surgery and Radiodiagnostic Clinics of the İstanbul Medica,l Faculty has applied thrombolytic treatment to 16 different patients during 1992-1994. The indication in 1O pat ients was acute arterial occlusion, thrombosis caused by PTA or steni usage in 5 patients and, occluded bypass in one patient. in all the patients the method was infusion into the thrombosis by selective catheterization. Streptokinase was used in 2 patients, urokinase in 11 patients and, tpa in 3 patients. There have been a failure in 4 patients (25 %), however, in two of these patients there was also occluding mechanic lesion apart from the thrombo­ sis. When applied selectively aiıd into the thrombosis in the properly selected patients, thrombolytic treatment is a very promising method.