Isolated limb perfusion with tissue plasminogen activator for acute hand ischemia

A 62-year old woman presented with an ischemic hand postoperatively from an open abdominal aortic aneurysm repair. Traditional open embolectomy techniques were attempted but failed ≤ 24 hours. She was then taken for isolated limb perfusion with tissue plasminogen activator for ongoing ischemia of the hand. A satisfactory technical result was achieved, and the patient remains with a functional extremity.