Arterial and venous embolization: Declotting of dialysis shunts by direct injection of streptokinase

Conference · Sun Jun 01 00:00:00 EDT 1986 · Radiology; (United States)

OSTI ID:6703804

Zeit, R M

During the past 33 months, thrombolysis of 79 clotted hemodialysis shunts was attempted by injecting small quantities of dilute streptokinase solution directly into the clotted shunt, followed by massage of the clot. Embolization of clot fragments in six of 79 cases (7.6%) was demonstrated angiographically. In four of the six cases embolization involved the brachial artery or its branches. In one case embolization involved an arm vein, and in one case embolization involved both the bracial artery and axillary vein. All patients remained asymptomatic, and repeat angiographic study, usually performed the following day, showed resolution of the emboli in four of five cases. The incidence of embolization in direct-injection thrombolysis reported in this study appears to be comparable to that reported in studies using the streptokinase infusion technique.

• Research Organization: Dept. of Radiology, Temple Univ., School of Medicine, Philadelphia, PA 19141
• OSTI ID: 6703804
• Report Number(s): CONF-861136-
• Journal Information: Radiology; (United States), Vol. 159:3; Conference: 72. scientific assembly and annual meeting of RSNA, Chicago, IL, USA, 30 Nov 1986
• Country of Publication: United States
• Language: English

Related Subjects

59 BASIC BIOLOGICAL SCIENCES
BLOOD COAGULATION
INHIBITION
BLOOD VESSELS
BIOMEDICAL RADIOGRAPHY
EMBOLI
THROMBOSIS
STREPTOCOCCAL PROTEINASE
ARTERIES
BLOOD CIRCULATION
DIAGNOSIS
DIALYSIS
MECHANICAL KIDNEY
PATIENTS
PROSTHESES
VEINS
ARTIFICIAL ORGANS
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
DIAGNOSTIC TECHNIQUES
DISEASES
ENZYMES
HYDROLASES
KIDNEYS
MEDICAL SUPPLIES
MEDICINE
NUCLEAR MEDICINE
ORGANS
PEPTIDE HYDROLASES
RADIOLOGY
SEPARATION PROCESSES
SH-PROTEINASES
VASCULAR DISEASES
550200* - Biochemistry