Catheter-directed intra-arterial thrombolysis in the treatment of acute thrombosis of below-the-knee arteries

• Main Authors: Tran Minh Bao Luan, MD, PhD, Ho Tat Bang, MD, MSc, Nguyen Minh Tan, MD, MSc, Luong Viet Thang, MD, Nguyen Vo Tan Danh, MD, Lam Thao Cuong, MD, MSc, Le Phi Long, MD, MSc, Tran Thanh Vy, MD, PhD
• Format: Article
• Language: English
• Published: Elsevier 2021-08-01
• Series: Radiology Case Reports
• Subjects: Acute lower limb ischemia; Catheter-directed thrombolysis
• Online Access: http://www.sciencedirect.com/science/article/pii/S193004332100306X
• ISSN: 1930-0433

Selecting treatment options in acute arterial thrombosis of the lower extremity, which threatens limb viability, is still a challenge for vascular surgeons. Early restoration of blood flow is crucial and is conducted by surgical thrombectomies or endovascular procedures, depending on patient condition. Catheter-directed thrombolysis with or without percutaneous mechanical thrombectomy for acute limb ischemia has been widely implemented from the early 1990s. Here, we present 2 cases of acute thrombosis of below-the-knee arteries, where we successfully saved the involved limbs using catheter-directed thrombolysis and thrombus aspiration.