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Japanese Journal of Radiology

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01-07-2016 | Original Article

A new endovascular strategy utilizing a hybrid procedure for long segmental occlusion by acute arterial thromboembolism in the lower extremity

Authors: JungWon Kwak, HwanHoon Chung, SeungHwa Lee, YunHwan Kim, SungBum Cho, TaeSuk Seo, Wonmin Jo, JaeSeung Shin

Published in: Japanese Journal of Radiology | Issue 7/2016

Abstract

Purpose

To evaluate a new endovascular strategy utilizing a hybrid procedure for long segmental arterial thromboembolism in a lower extremity by historical comparison with conventional endovascular strategy.

Materials and methods

In a new endovascular strategy, a hybrid procedure was performed for long segmental thromboembolism (longer than 15 cm) and an endovascular procedure for short segmental thromboembolism. The new strategy group (Group A) consisted of 24 procedures (13 hybrid procedures, 11 endovascular procedures) in 19 patients. Data were retrospectively collected from 24 consecutive procedures in 23 patients treated with the conventional strategy (Group B).

Result

The technical success of Groups A and B was 24/24 and 20/24, respectively (p = 0.11). Major amputation or mortality was not observed in Group A, whereas 3 major amputations and 4 deaths occurred in Group B. Clinical failure in Groups A and B was 0/24 and 7/24, respectively (p < 0.05). Continuous urokinase (UK) infusion was needed in 1/24 in Group A and 14/24 in Group B (p < 0.05). Mean procedure time was 4 h 17 min for Group A and 21 h 30 min for Group B (p < 0.05).

Conclusion

The hybrid procedure may be faster and more effective than the conventional treatment in long segmental arterial thromboembolisms, while the conventional treatment is still effective for short segmental occlusions.

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Title: A new endovascular strategy utilizing a hybrid procedure for long segmental occlusion by acute arterial thromboembolism in the lower extremity
Authors: JungWon Kwak
HwanHoon Chung
SeungHwa Lee
YunHwan Kim
SungBum Cho
TaeSuk Seo
Wonmin Jo
JaeSeung Shin
Publication date: 01-07-2016
Publisher: Springer Japan
Published in: Japanese Journal of Radiology / Issue 7/2016
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI: https://doi.org/10.1007/s11604-016-0542-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A new endovascular strategy utilizing a hybrid procedure for long segmental occlusion by acute arterial thromboembolism in the lower extremity

Abstract

Purpose

Materials and methods

Result

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Materials and methods

Result

Conclusion

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