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

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dc.contributor.authorKatsouras, C. S.en
dc.contributor.authorMichalis, L. K.en
dc.contributor.authorLeontaridis, I.en
dc.contributor.authorKolettis, T.en
dc.contributor.authorNaka, K. K.en
dc.contributor.authorGoudevenos, J. A.en
dc.contributor.authorRees, M. R.en
dc.contributor.authorSideris, D. A.en
dc.date.accessioned2015-11-24T19:08:14Z
dc.date.available2015-11-24T19:08:14Z
dc.identifier.issn0174-1551-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20510
dc.rightsDefault Licence-
dc.subjectAcute Diseaseen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAngiography, Digital Subtractionen
dc.subjectAngioplasty, Balloon, Coronary/adverse effects/methodsen
dc.subjectAnticoagulants/therapeutic useen
dc.subjectFemaleen
dc.subjectFemoral Arteryen
dc.subjectFollow-Up Studiesen
dc.subjectHeart Catheterization/adverse effects/*instrumentationen
dc.subjectHemostatic Techniques/adverse effects/*instrumentationen
dc.subjectHumansen
dc.subjectIschemia/*drug therapy/*etiology/radiographyen
dc.subjectLeg/*blood supplyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPopliteal Arteryen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessmenten
dc.subjectThrombolytic Therapy/*methodsen
dc.subjectTreatment Outcomeen
dc.titleTreatment of acute lower limb ischemia following the use of the Duett sealing device: report of three cases and review of the literatureen
heal.abstractThree 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.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1007/s00270-003-0155-1-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15359470-
heal.identifier.secondaryhttp://www.springerlink.com/content/yn5xfchcueb86al9/fulltext.pdf-
heal.journalNameCardiovasc Intervent Radiolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2004-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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