Endovascular techniques in the treatment of XXXX : thrombolytic agents, trials, and percutaneous mechanical thrombectomy techniques.

@entity1 @entity63 @entity532 @entity1188 @entity432 @entity204
Acute peripheral @entity432 is associated with great risk to the @entity1 's limb and life. Failure to restore adequate arterial flow in a timely fashion can result in the development of irreversible tissue @entity1188 and the opportunity for limb salvage is lost. On the other hand, @entity1 with @entity63 are often elderly and frail, and early invasive open surgical procedures without adequate preoperative stabilization and preparation result in an unacceptably high risk of perioperative @entity532 and @entity204 . Percutaneous methods designed to remove the intraluminal thrombus offer an alternative to immediate open surgical revascularization. These less invasive techniques constitute an option that is better tolerated in medically compromised @entity1 . The causative lesion can be precisely identified and the patency of outflow vessels can be restored. The lesion can then be addressed on an elective basis in a well-prepared @entity1 , using percutaneous or open surgical techniques to effect a durable long-term solution. The treatment options include primary surgical revascularization, thrombolytic therapy, percutaneous mechanical thrombectomy, or a combination of any of the three. Clinicians who themselves have the skills to perform a wide assortment of interventions ranging from percutaneous therapies through open surgical revascularization are best able to arrive at the most rational option for treating a specific clinical scenario. This article is directed at providing the practicing surgeon with a basic fund of knowledge on the diagnostic and therapeutic strategies useful in treating @entity1 with peripheral @entity432 . Only in this manner can we expect to reduce the high rate of morbidity and mortality that remains associated with these events.
