Intra-arterial reteplase for the treatment of acute limb ischemia

J Invasive Cardiol. 1999 Dec;11(12):757-62.

Abstract

The removal of urokinase from the market has created a dilemma for interventionists and vascular surgeons treating patients with acute limb threatening ischemia due to arterial thrombosis or embolization. Reteplase is a newer, fibrin-specific thrombolytic agent with properties that make it an attractive alternative to urokinase. We report two cases of successful treatment of acute, limb threatening ischemia with intra-arterial Reteplase therapy.

MeSH terms

  • Acute Disease
  • Aged
  • Angiography
  • Fibrinolytic Agents / administration & dosage*
  • Foot / blood supply*
  • Humans
  • Infusions, Intra-Arterial
  • Ischemia / diagnostic imaging
  • Ischemia / drug therapy*
  • Male
  • Middle Aged
  • Recombinant Proteins / administration & dosage*
  • Thrombolytic Therapy / methods
  • Tissue Plasminogen Activator / administration & dosage*

Substances

  • Fibrinolytic Agents
  • Recombinant Proteins
  • reteplase
  • Tissue Plasminogen Activator