{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T17:18:07Z","timestamp":1648660687981},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Einstein (S\u00e3o Paulo)"],"abstract":"<jats:p>ABSTRACT Preservation of the knee joint has enormous advantages in terms of mobility and rehabilitation of an amputee. Any cause of breakdown requiring revision to an above-knee amputation is a major setback because it reduces the patient\u2019s rehabilitative potential. We report a case of intra-arterial thrombolysis use to save a below-knee amputation stump with acute ischemia. A 56-year-old man who sought the emergency department with 1-day history of acute pain on his right below-knee stump. The angiography confirmed popliteal artery occlusion. Pharmacomechanical thrombectomy, with Aspirex (rotational catheter to restore blood flow in occluded vessel, by removing occlusion material from the vessel) and recombinant tissue plasminogen activator, was performed. After 9 years of follow-up the patient remained asymptomatic, capable of independent ambulation with prosthetic limb. Intra-arterial fibrinolysis seems to be a safe and effective treatment for cases of acutely ischemic amputation stump.<\/jats:p>","DOI":"10.1590\/s1679-45082017rc4014","type":"journal-article","created":{"date-parts":[[2017,10,21]],"date-time":"2017-10-21T18:28:41Z","timestamp":1508610521000},"source":"Crossref","is-referenced-by-count":0,"title":["Intra-arterial fibrinolysis for the management of acute ischemia on a below-knee amputation stump. Case report"],"prefix":"10.1590","volume":"16","author":[{"given":"Breno Boueri","family":"Affonso","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquim Maur\u00edcio da Motta","family":"Leal Filho","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Noronha","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscila Mina","family":"Falsarella","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Leonardo","family":"Galastri","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodolfo Souza","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de Itajub\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Nasser","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"issue":"4","key":"ref1","article-title":"Type of incision for below knee amputation","volume":"8","author":"Tisi PV","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1583\/05-1788.1","article-title":"Subintimal recanalization of the femoropopliteal segment to promote healing of an ulcered below-knee amputation stump","volume":"13","author":"Karkos CD","year":"2006","journal-title":"J 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stump: role of emergency revascularization in preventing death","volume":"2","author":"Bunt TJ","year":"1985","journal-title":"J Vasc Surg"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1177\/153857440303700208","article-title":"Peroneal artery approach for angioplasty of the superficial femoral artery: a case report","volume":"37","author":"Wolosker N","year":"2003","journal-title":"Vasc Endovascular Surg"},{"issue":"7","key":"ref8","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1308\/003588413X13629960047759","article-title":"Chronic wound and postamputation claudication pain in a diabetic patient","volume":"95","author":"Warner BE","year":"2013","journal-title":"Ann R Coll Surg Engl"},{"issue":"6","key":"ref9","article-title":"Infusion of recombinant human tissue plasminogen activator through the superior mesenteric artery in the treatment of acute mesenteric venous thrombosis","volume":"25","author":"Motta Leal Filho JM da","year":"2011","journal-title":"Ann Vasc Surg"},{"issue":"1","key":"ref10","article-title":"Infusion techniques for peripheral arterial thrombolysis","author":"Kessel DO","year":"2004","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Einstein (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/eins\/v16n1\/1679-4508-eins-S1679-45082017RC4014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T14:35:28Z","timestamp":1525876528000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1679-45082018000100503&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,23]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018]]}},"alternative-id":["S1679-45082018000100503"],"URL":"https:\/\/doi.org\/10.1590\/s1679-45082017rc4014","relation":{},"ISSN":["2317-6385","1679-4508"],"issn-type":[{"value":"2317-6385","type":"electronic"},{"value":"1679-4508","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10,23]]}}}