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Title of Journal: Cardiovasc Intervent Radiol

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Abbravation: CardioVascular and Interventional Radiology

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Springer-Verlag

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DOI

10.1007/bf02496330

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1432-086X

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Intraarterial Infusion Therapy via a Subcutaneous

Authors: ErnstPeter K Strecker Wladimir OstheimDzerowycz Irene BL Boos
Publish Date: 2014/02/18
Volume: 21, Issue: 2, Pages: 109-115
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Abstract

Methods Ten patients with deep extended ischemic ulcerations all 10 and osteomyelitis 6/10 of the foot received intraarterial infusions of prostaglandine E1 and antibiotics if indicated via a new port catheter system with the port placed subcutaneously above the groin after percutaneous introduction and the catheter tip placed into the superficial or deep femoral arteryResults Port implantation and repeated port access were uncomplicated During the followup period mean 11 months range 1 week–50 months port migration leakage or infection was not observed Three catheters thrombosed and were opened by fibrinolysis with recombinant tissue plasminogen activator instilled via the port Treatment success was achieved in 8 patients relief from rest pain 8 patients reduction of ulcer size 4/8 and complete healing 4/8 Limb savage rate was 80 In 2 patients amputation could not be avoided

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