[Local thrombolysis in acute occlusion of a femoropopliteal Gore-Tex bypass].

Occlusion of a femoro-popliteal Gore-Tex-bypass in two patients could be reopened using local low-dose thrombolytic therapy. Apart from the peripheral outflow effective anticoagulation treatment appears to have a deciding influence on long-term results. Application of the thrombolytic selectively to single vessels of the lower leg as well as a post-lysis effect offer the chance for an improvement in outflow. Combination of local lysis with vessel surgery may be an additional alternative for conservation of the extremities.