The use of thrombolytic agents to treat peripheral arterial occlusions is a new method. Despite its advantages, information about complications caused by the use of rt-PA and about its place in treatment is still incomplete. The aim of this study was to establish a dose range for rt-PA and to follow the patients with a protocol during and after thrombolysis. Between May 1999 to January 2000, 14 patients with symptoms of peripheral arterial occlusion came to Istanbul Medical Faculty Emergency Surgery Unit. The duration of ischaemia before their hospitalization took an average of 44 hours. (Range 3 hours-7 days). A pulse-spray catheter was directed to the thrombus under angiographic control. Bolus injection of 5 mg of rt-PA was followed by 15 minutes of interval. The extent of thrombolysis was checked by angiography and then bolus injection of 5 mg of rt- PA was repeated. After angiographic control, patients having insufficient thrombolysis, received 0.05 mg/kg/hour of infusion for 12 hours. At the end of 12 hours, thrombolytic treatment ended with a control angiography. A thromboembolectomy operation was made to patients still having an occlusion after thrombolysis. To avoid re-occlusions, all of the patients received 1.5 mg/kg/day low molecular weight heparin (enoxaparin) for 1 week. At the end of thrombolysis, 9 patients had complete lysis. A patient, having an occlusion in superior mesenteric artery had 60% recanalisation. 2 patients (14%) having 90% stenosis, needed a balloon angioplasty besides thrombolysis, and both of them had complete reperfusion. 2 patients (14%) needed a thromboembolectomy operation due to insufficient thrombolysis. 2 patients (14%) had a minor bleeding after thrombolytic treatment. After thrombolysis, 2 patients (14%) had a stroke. There were no amputations. 1 of the patients having a stroke, died 2 days after thrombolytic treatment 1 patient died due to myocardial infarction during thrombolysis. 1 patient (7%) died due to diabetic coma on the 20th day. Acute myocardial infarction was the cause of death in 1 patient on the 25th day. In conclusion pulse spray thrombolysis with rt-PA is safe and efficient. Moreover there is a reduction in complications and need for surgical procedure. The recent problem is to find the optimum dosages for the best thrombolysis and for least complications.addictive behavior
adolescent compulsive gambling
gambling help click here to see if you are a compulsive online trader
addictive behavior
adolescent compulsive gambling
gambling problem click here to see if you are a compulsive online trader
addictive behavior
adolescent compulsive gambling
gambling click here to see if you are a compulsive online trader
addictive behavior
adolescent compulsive gambling
gambling click here to see if you are a compulsive online trader
addictive behavior
adolescent compulsive gambling
gambling help click here to see if you are a compulsive online trader
buy biaxin without prescription
buy biaxin online
cheap biaxin buy biaxin
cheapest clarithromycin
order biaxin 500mg
discount biaxin buy clarithromycin
buy abortion pill online
cytotec abortion pill buy online
abortion pill buy abortion pill online
buy abortion pill online
cytotec abortion pill buy online
buy abortion pill buy abortion pill online
mail order viagra without prescription
buy viagra online a href
alternative to viagra viagra for sale without a prescription
mail order viagra without prescription
buy viagra online a href
viagra online viagra for sale without a prescription
mail order viagra without prescription
buy viagra online a href
viagra online viagra for sale without a prescription
mail order viagra without prescription
buy viagra online a href
female viagra alternative viagra for sale without a prescription
kamagra without prescription
photos kamagra
kamagra herbal kamagra alternative
kamagra without prescription
photos kamagra
kamagra herbal kamagra alternative
kamagra without prescription
photos kamagra
kamagra herbal kamagra alternative
herbal kamagra jelly alternative
kamagra jelly pharmacy
free kamagra jelly free kamagra jelly
herbal kamagra jelly alternative
kamagra jelly pharmacy
kamagra jelly free kamagra jelly
herbal kamagra jelly alternative
kamagra jelly pharmacy
kamagra jelly free kamagra jelly
amoxicillin uk
mail order amoxil
generic amoxil amoxil prescription buy
amoxicillin uk
mail order amoxil
amoxicillin amoxil prescription buy
amoxicillin uk
mail order amoxil
amoxicillin amoxil prescription buy
natural synthroid
synthroid prescription buy
generic synthroid where to buy thyroxine online
natural synthroid
synthroid prescription buy
synthroid where to buy thyroxine online
natural synthroid
synthroid prescription buy
synthroid where to buy thyroxine online
natural synthroid
synthroid prescription buy
generic synthroid where to buy thyroxine online
female herbal laxative
order laxative online
laxative get bisacodyl
female herbal laxative
order laxative online
laxative get bisacodyl
ampicillin prescription buy
buy principen in great britain
ampicillin photos ampicillin
ampicillin prescription buy
buy principen in great britain
ampicillin photos ampicillin
ampicillin prescription buy
buy principen in great britain
get ampicillin photos ampicillin
ampicillin prescription buy
buy principen in great britain
ampicillin photos ampicillin
purchase cipro online
get ciprofloxacin
ciprofloxacin cheap ciprofloxacin
cleocin online shop in uk
get clindamycin avoid prescription
clindamycin cleocin online
cleocin online shop in uk
get clindamycin avoid prescription
clindamycin cleocin online
order dexone
female herbal dexone
dexamethasone alternative to dexamethasone
order dexone
female herbal dexone
dexamethasone alternative to dexamethasone
natural duricef
natural Cefadroxil
cefadroxil female free sample Cefadroxil
natural duricef
natural Cefadroxil
cefadroxil female free sample Cefadroxil
natural duricef
natural Cefadroxil
cefadroxil female free sample Cefadroxil
order vantin
natural vantin
cefpodoxime vantin prescription buy
order vantin
natural vantin
cefpodoxime vantin prescription buy
order vantin
natural vantin
cefpodoxime vantin prescription buy
generic ceftin
buy ceftin online a href
cefuroxime buy ceftin online safe
generic ceftin
buy ceftin online a href
cefuroxime buy ceftin online safe
abortion pill buy online
where can i buy abortion pills
abortion pill order abortion pill
abortion pill buy online
where can i buy abortion pills
abortion pill order abortion pill
abortion pill buy online
where can i buy abortion pills
abortion pill order abortion pill
abortion pill buy online
where can i buy abortion pills
abortion pill order abortion pill
abortion pill buy online
where can i buy abortion pills
abortion pill order abortion pill
keflex without prescription
buy keflex online
buy cephalexin get keflex online
keflex without prescription
buy keflex online
cephalexin get keflex online
keflex without prescription
buy keflex online
cephalexin get keflex online
how does chloromycetin work
how to use chloramphenicol
chloramphenicol order chloromycetin online
how does chloromycetin work
how to use chloramphenicol
chloramphenicol order chloromycetin online
abortion pills
where can you buy the abortion pill
abortion pills pill for abortion online
abortion pills
where can you buy the abortion pill
abortion pill pill for abortion online
abortion pills
where can you buy the abortion pill
abortion pills pill for abortion online
buy augmentin online
how to use augmentin
augmentin female free sample augmentin
buy augmentin online
how to use augmentin
augmentin female free sample augmentin