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Indications for intra-arterial infusion of urokinase in the treatment of acute gut ischaemia in patients with heart disease

Journal Article:

Abstract

The poor prognosis of acute mesenteric artery occlusion can be improved by reaching a rapid angiographic diagnosis and by instituting treatment at an early stage. In addition to operative embolectomy, success may be expected from the use of urokinase infused superselectively into the superior mesenteric artery. This treatment is only likely to be successful if it is carried out within ten hours of the onset of clinical signs and symptoms. In patients with heart disease, angiography is recommended as soon as there is any suspicion of mesenteric occlusion, in order to confirm the diagnosis, localise the embolus and decide on the form of treatment. Urokinase treatment can be successful for embolic occlusion of the main branches or peripheral branches of the superior mesenteric artery. However, complete occlusion of the main superior mesenteric artery should be treated operatively. A contra-indication to urokinase therapy is occlusion due to infected emboli from an endocarditis.
Publication Date:
Dec 01, 1985
Product Type:
Journal Article
Reference Number:
DEN-86-005380; EDB-86-097108
Resource Relation:
Journal Name: RoeFo, Fortschr. Geb. Roentgenstr. Nuklearmed.; (Germany, Federal Republic of); Journal Volume: 143:6
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BLOOD VESSELS; BIOMEDICAL RADIOGRAPHY; INTESTINES; ISCHEMIA; MESENTERY; ARTERIES; VASCULAR DISEASES; UROKINASE; INJECTION; DIAGNOSIS; THERAPY; EMBOLI; IMAGES; PATIENTS; X-RAY RADIOGRAPHY; BODY; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; DRUGS; ENZYMES; FIBRINOLYTIC AGENTS; GASTROINTESTINAL TRACT; HEMATOLOGIC AGENTS; HYDROLASES; INDUSTRIAL RADIOGRAPHY; INTAKE; MEDICINE; MEMBRANES; NONSPECIFIC PEPTIDASES; NUCLEAR MEDICINE; ORGANS; PEPTIDE HYDROLASES; RADIOLOGY; SEROUS MEMBRANES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5931933
Research Organizations:
Mitsui Memorial Hospital, Tokyo, Japan. Dept. of Radiology
Country of Origin:
Germany
Language:
German
Other Identifying Numbers:
Journal ID: CODEN: RFGND
Submitting Site:
DEN
Size:
Pages: 660-664
Announcement Date:

Journal Article:

Citation Formats

Inoue, Y, Schichijo, Y, and Ibukuro, K. Indications for intra-arterial infusion of urokinase in the treatment of acute gut ischaemia in patients with heart disease. Germany: N. p., 1985. Web.
Inoue, Y, Schichijo, Y, & Ibukuro, K. Indications for intra-arterial infusion of urokinase in the treatment of acute gut ischaemia in patients with heart disease. Germany.
Inoue, Y, Schichijo, Y, and Ibukuro, K. 1985. "Indications for intra-arterial infusion of urokinase in the treatment of acute gut ischaemia in patients with heart disease." Germany.
@misc{etde_5931933,
title = {Indications for intra-arterial infusion of urokinase in the treatment of acute gut ischaemia in patients with heart disease}
author = {Inoue, Y, Schichijo, Y, and Ibukuro, K}
abstractNote = {The poor prognosis of acute mesenteric artery occlusion can be improved by reaching a rapid angiographic diagnosis and by instituting treatment at an early stage. In addition to operative embolectomy, success may be expected from the use of urokinase infused superselectively into the superior mesenteric artery. This treatment is only likely to be successful if it is carried out within ten hours of the onset of clinical signs and symptoms. In patients with heart disease, angiography is recommended as soon as there is any suspicion of mesenteric occlusion, in order to confirm the diagnosis, localise the embolus and decide on the form of treatment. Urokinase treatment can be successful for embolic occlusion of the main branches or peripheral branches of the superior mesenteric artery. However, complete occlusion of the main superior mesenteric artery should be treated operatively. A contra-indication to urokinase therapy is occlusion due to infected emboli from an endocarditis.}
journal = {RoeFo, Fortschr. Geb. Roentgenstr. Nuklearmed.; (Germany, Federal Republic of)}
volume = {143:6}
journal type = {AC}
place = {Germany}
year = {1985}
month = {Dec}
}