A 56 year old @entity1 presented with increasing @entity490 . He suffered from @entity432 with @entity432 . iliaca communis. Angiography revealed partial @entity715 occlusion of the superior mesenteric artery. Urokinase (UK) at a dose of 150 IU/kg X minutes and heparin (1,000 U/h) was infused through the 7F angiographic catheter for 180 minutes. After 70 min of treatment, angiography showed improvement, and after 120 min the thrombus was nearly completely lysed. A stenosis of approximately 50% was still present after 180 min. Two hours after treatment the @entity1 was @entity158 free without analgesics. Laboratory studies showed systemic fibrinogenolysis, but fibrinogen was still within the upper normal range. Only slight systemic fibrinolytic activity (less than 5 IU UK/ml) could be determined. However, alpha 2-antiplasmin was depleted. The catheter was drawn 15 h after thrombolysis without @entity548 . While under concurrent heparin and phenprocoumon therapy, the @entity1 developed an @entity281 as a result of i.m. injections prior to this treatment. A repeat angiography approximately one month after thrombolysis revealed further improvement and patency. The @entity1 is well and free of @entity951 and under oral anticoagulant therapy.

[Successful treatment of superior mesenteric artery XXXX with local high-dose urokinase therapy].

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infected gluteal hematoma'] @entity951 :: ('MESH:D000787', 'Disease') :: ['abdominal angina'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity432 :: ('MESH:D001157', 'Disease') :: ['occlusion of the right A', 'arterial occlusive disease'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombotic']
@entity715 :: (MESH:D013927,Disease) :: ['thrombosis']
