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Radiology, Vol 153, 385-388, Copyright © 1984 by Radiological Society of North America

ARTICLES

Iliac artery occlusion: management with intrathrombus streptokinase infusion and angioplasty

M Auster, S Kadir, SE Mitchell, GM Williams, BA Perler, R Chang and RI White Jr

Chronic and acute unilateral iliac artery occlusions were successfully treated in 7 of 8 patients using low-dose intrathrombus streptokinase infusions ranging from 6 to 43 hours in combination with percutaneous transluminal angioplasty. Angioplasty of an underlying stenosis was performed as soon as clot lysis was maximal and an underlying stenosis was demonstrated. Long-term follow-up to date has been excellent. This approach to unilateral iliac occlusion appears to be safer than previously reported angioplasty of iliac artery occlusion.


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