Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia
Elhayeg, O., Badawy, M., Hammoda, M. (2645). Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia. EKB Journal Management System, 2024(7), -. doi: 10.58675/2682-339X.2555
Omar Elhayeg; Mostafa Badawy; Mohamed Hammoda. "Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia". EKB Journal Management System, 2024, 7, 2645, -. doi: 10.58675/2682-339X.2555
Elhayeg, O., Badawy, M., Hammoda, M. (2645). 'Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia', EKB Journal Management System, 2024(7), pp. -. doi: 10.58675/2682-339X.2555
Elhayeg, O., Badawy, M., Hammoda, M. Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia. EKB Journal Management System, 2645; 2024(7): -. doi: 10.58675/2682-339X.2555

Assesssment of the role of Thrombolytic Therapy by Using Catheter in the Treatment of Acute Lower Limb Ischemia

Al-Azhar International Medical Journal
Volume 2024, Issue 7, July 2024  XML
DOI: 10.58675/2682-339X.2555
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Authors
Omar Elhayeg; Mostafa Badawy; Mohamed Hammoda
Vascular surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Abstract
Background: Acute limb ischemia is characterized by an abrupt reduction in perfusion to the affected limb, posing a risk to the condition's viability and necessitating prompt revascularization. Aim and objectives: To assess the efficacy, safety, and complications of catheter-directed thrombolysis (CDT) in acute lower limb ischemia. Patients and methods: This prospective interventional study includes 30 patients selected from attendees of outpatient Vascular Surgery clinics of Al Azhar University Hospitals. Samples were collected using a random systematic method. Results: Mean Hemoglobin g/dl was 12.78 ± 1.57. The mean Leucocyte count /microliters was 7015.07 ± 448.49. The mean platelet count *1000/microliter was 250.83 ± 22.11. The mean Ptt (sec) was 30.13 ± 2.13. The mean INR was 1.03 ± 0.09. 22 (73.3%) patients had Category IIa. 8 (26.67%) patients had Category I. 26 (86.67%) patients had Detectable Runoff vessels. 4 (13.3%) patients had No detectable Runoff vessels.7 (23.3%) patients had Peri-sheath hematoma. 4 (13.3%) patients had Hematuria. 2 (6.67%) patients had Epistaxis. 1 (3.3%) patient had Compartmental syndrome. 2 (6.67%) patients had Balloon angioplasty. 2 (6.67%) patients had Thrombectomy. 1 (3.3%) patient had Bypass. 1 (3. 3%) patient had Fasciotomy. 1 (3.3%) patient had BKA. 5 (16.67%) patients had AKA.25 (83.3%) patients had successful thrombolysis. 5 (16.67%) patients had failed thrombolysis. Conclusion: In the management of acutely ischemic limbs, CDT is a viable, risk-free, and minimally invasive substitute for surgical intervention. Nevertheless, bleeding and hematoma complications are a significant problem of this treatment.
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