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Abstract
To determine the intermediate-term results of intra-arterial thrombolysis, 127 consecutive
patients receiving 129 courses of treatment were reviewed at a median follow-up of
3 years. At initial review, 30 days after treatment, thrombolysis was successful in
63 cases (49 per cent). Of these patients, 16 were lost to follow-up: 15 died without
further vascular symptoms and one moved from the area. Some 35 patients were alive
and asymptomatic, of whom 33 had either angiographic or clinical evidence of continued
arterial patency. Symptomatic reocclusion occurred in 12 cases: a further two patients
remained asymptomatic and reocclusion was detected at follow-up. Two of the 12 symptomatic
patients required amputation. Estimated patency rates were 80 per cent at 1 year,
72 per cent at 2 years and 70 per cent at 3 years. The intermediate-term results in
the 66 cases in which lysis was unsuccessful were worse, only 16 patients (24 per
cent) surviving to follow-up with the treated limb intact. It is concluded that, if
thrombolysis is successful at 30 days, the intermediate-term results are good.
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© 1993 Published by Elsevier Inc.
