Intra-arterial fibrinolysis for the management of acute ischemia on a below-knee amputation stump. Case report

Breno Boueri Affonso; Joaquim Maurício Da Motta Leal Filho; Rafael Noronha Cavalcante; Priscila Mina Falsarella; Francisco Leonardo Galastri; Rodolfo Souza Cardoso; Felipe Nasser

doi:10.1590/s1679-45082017rc4014

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Intra-arterial fibrinolysis for the management of acute ischemia on a below-knee amputation stump. Case report

Journal article

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Intra-arterial fibrinolysis for the management of acute ischemia on a below-knee amputation stump. Case report

Breno Boueri Affonso, Joaquim Maurício Da Motta Leal Filho, Rafael Noronha Cavalcante, Priscila Mina Falsarella, Francisco Leonardo Galastri, Rodolfo Souza Cardoso and Felipe Nasser

Einstein (São Paulo, Brazil), Vol.16(1), p.eRC4014

2018

DOI: 10.1590/s1679-45082017rc4014

PMID: 29069141

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Abstract

ABSTRACT Preservation of the knee joint has enormous advantages in terms of mobility and rehabilitation of an amputee. Any cause of breakdown requiring revision to an above-knee amputation is a major setback because it reduces the patient’s rehabilitative potential. We report a case of intra-arterial thrombolysis use to save a below-knee amputation stump with acute ischemia. A 56-year-old man who sought the emergency department with 1-day history of acute pain on his right below-knee stump. The angiography confirmed popliteal artery occlusion. Pharmacomechanical thrombectomy, with Aspirex (rotational catheter to restore blood flow in occluded vessel, by removing occlusion material from the vessel) and recombinant tissue plasminogen activator, was performed. After 9 years of follow-up the patient remained asymptomatic, capable of independent ambulation with prosthetic limb. Intra-arterial fibrinolysis seems to be a safe and effective treatment for cases of acutely ischemic amputation stump.

MEDICINE, GENERAL & INTERNAL

Details

Title: Subtitle: Intra-arterial fibrinolysis for the management of acute ischemia on a below-knee amputation stump. Case report
Creators: Breno Boueri Affonso - Hospital Israelita Albert Einstein
Joaquim Maurício Da Motta Leal Filho - Hospital Israelita Albert Einstein
Rafael Noronha Cavalcante - Hospital Israelita Albert Einstein
Priscila Mina Falsarella - Hospital Israelita Albert Einstein
Francisco Leonardo Galastri - Hospital Israelita Albert Einstein
Rodolfo Souza Cardoso - Faculdade de Medicina de Itajubá
Felipe Nasser - Hospital Israelita Albert Einstein
Resource Type: Journal article
Publication Details: Einstein (São Paulo, Brazil), Vol.16(1), p.eRC4014
DOI: 10.1590/s1679-45082017rc4014
PMID: 29069141
NLM abbreviation: Einstein (Sao Paulo)
ISSN: 2317-6385
eISSN: 2317-6385
Publisher: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Alternative title: Fibrinólise intra-arterial para tratamento da isquemia aguda em coto de amputação infrapatelar. Relato de caso
Language: English; Portuguese
Date published: 2018
Academic Unit: Radiology
Record Identifier: 9985180933702771

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