[Local low-dose streptokinase therapy of shunt thrombosis in chronic hemodialysis patients].

In two patients undergoing haemodialysis on account of a thrombosis of the saphena transplant a local thrombolytic treatment with 50,000 units Awelysin was performed 2--3 times a day. In the two cases after 4 or 5 days a recanalisation developed, in one patient, however, a new thrombosis developed. As prerequisite for the success a sufficiently high shunt flow before the thrombosis is regarded. The exact coagulation-physiological control in the transposition phase from heparin to oral anticoagulants is particularly important.