{"id":9790,"date":"2015-12-05T06:41:56","date_gmt":"2015-12-05T01:11:56","guid":{"rendered":"http:\/\/md.cardiophile.com\/?p=68"},"modified":"2022-12-16T15:54:19","modified_gmt":"2022-12-16T10:24:19","slug":"peripheral-intra-arterial-thrombolysis","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/","title":{"rendered":"Peripheral Intra Arterial Thrombolysis"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/GmD5l4vH-PI\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Peripheral Intra Arterial Thrombolysis<\/span><\/h2>\n<p>Cannulate the vessel and pass a guidewire across the thrombus before thrombolysis. Heparin is given intravenously as soon as the guide wire passes the thrombus. Heparin bolus followed by infusion is used to maintain therapeutic level. Catheter with multiple side holes is used for thrombolysis. Streptokinase is not generally used in view of bleeding complications. Either Urokinase or tPA is used. Immediate success is achieved in 60-90% and 2 year patency up to 80%.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Complications expected with PIAT<\/strong><\/span><\/p>\n<p>Most common complication is 3 -20% site bleed.<br>Intracranial bleeds can occur in 0.5 \u2013 2%.<br><b><\/b><\/p>\n<p>A Cochrane review concluded that there is some evidence indicating that intra-arterial tissue plasminogen activator is more effective than intra-arterial streptokinase or intravenous tissue plasminogen activator in improving vessel patency in peripheral arterial occlusion [1]. The conclusion was reached after evaluating five randomized controlled trials involving a total of 687 participants.<\/p>\n<p>One retrospective study reported on 71 patients with acute popliteal artery occlusion, with a mean 6 day old ischemic time before thrombolysis [2]. Technical success was achieved in 90% and clinical success in 87% of cases. Of the 71 patients, 33 had embolic occlusion while 38 had thrombotic occlusions. There were no major bleeding complications.<\/p>\n<p><span style=\"color: #0000ff;\"><b>Balloon catheter guided PIAT<\/b><\/span><\/p>\n<p>Another method for PIAT is using a porous balloon with low pressure [3]. Recanalization could be obtained in 13 of the 14 cases in that study and the usage of fibrinolytic agent was low. The limb salvage rate at 6 months after recanalization was 92% and the mean stay in the monitored area was around one day. This method could reduce hemorrhagic risk in the elderly because of localized delivery of lower quantity of fibrinolytic agent.<b><\/b><\/p>\n<p><span style=\"color: #0000ff;\"><strong>Ultrasound accelerated PIAT<\/strong><\/span><\/p>\n<ul>\n<li>Another study compared ultrasound accelerated vs multi-hole infusion catheter for thrombolysis in acute limb ischemia [4]. There was no significant difference in mean infusion duration, volume of tissue plasminogen activator or technical success rate between the two cohorts. No difference was noted in major limb loss, compartment syndrome, overall complication rate and 30 day mortality between the two catheter systems in that study.<\/li>\n<\/ul>\n<p><span style=\"color: #0000ff;\"><b>References<\/b><\/span><\/p>\n<ol>\n<li>Robertson I, Kessel DO, Berridge DC. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24357258\/\">Fibrinolytic agents for peripheral arterial occlusion<\/a>. Cochrane Database Syst Rev. 2013 Dec 19;(12):CD001099.&nbsp;<\/li>\n<li>Della Schiava N, Naudin I, Bordet M, Boudjelit T, Moia A, Arsicot M, Tresson P, Lermusiaux P, Millon A. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32241089\/\">Intra-arterial thrombolysis in acute popliteal artery occlusion is a safe and effective technique reducing the rate of open surgery<\/a>. J Cardiovasc Surg (Torino). 2020 Dec;61(6):745-751.&nbsp;<\/li>\n<li>Dakhil B, Lacal P, Abdesselam AB, Couffinhal JC, Gordienco A, Bagan P. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23880456\">Evaluation of balloon catheter-guided intra-arterial thrombolysis for acute peripheral arterial occlusion<\/a>.&nbsp;Ann Vasc Surg. 2013 Aug;27(6):781-4.<\/li>\n<li>Chait J, Aurshina A, Marks N, Hingorani A, Ascher E. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31327305\/\">Comparison of Ultrasound-Accelerated Versus Multi-Hole Infusion Catheter-Directed Thrombolysis for the Treatment of Acute Limb Ischemia<\/a>. Vasc Endovascular Surg. 2019 Oct;53(7):558-562.&nbsp;<\/li>\n<\/ol>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A new method for peripheral intra arterial thrombolysis is using a porous balloon with low pressure.<\/p>\n","protected":false},"author":1,"featured_media":57567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,16],"tags":[1898,1906,2520,3898,3940,3964,4103],"class_list":["post-9790","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-peripheral-vascular-disease","tag-intra-arterial-thrombolysis","tag-intracranial-bleeds","tag-myocardial-infarction","tag-thrombolysis","tag-tissue-type-plasminogen-activator","tag-tpa","tag-urokinase"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA<\/title>\n<meta name=\"description\" content=\"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA\" \/>\n<meta property=\"og:description\" content=\"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2015-12-05T01:11:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-16T10:24:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"721\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Peripheral Intra Arterial Thrombolysis\",\"datePublished\":\"2015-12-05T01:11:56+00:00\",\"dateModified\":\"2022-12-16T10:24:19+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/\"},\"wordCount\":456,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2015\\\/12\\\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg\",\"keywords\":[\"Intra Arterial Thrombolysis\",\"Intracranial bleeds\",\"myocardial infarction\",\"thrombolysis\",\"tissue type plasminogen activator\",\"tPA\",\"Urokinase\"],\"articleSection\":[\"Angiography and Interventions\",\"Peripheral Vascular Disease\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/\",\"name\":\"Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2015\\\/12\\\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg\",\"datePublished\":\"2015-12-05T01:11:56+00:00\",\"dateModified\":\"2022-12-16T10:24:19+00:00\",\"description\":\"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#primaryimage\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2015\\\/12\\\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg\",\"contentUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2015\\\/12\\\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg\",\"width\":1200,\"height\":721},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/peripheral-intra-arterial-thrombolysis\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Peripheral Intra Arterial Thrombolysis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA","description":"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/","og_locale":"en_US","og_type":"article","og_title":"Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA","og_description":"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.","og_url":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2015-12-05T01:11:56+00:00","article_modified_time":"2022-12-16T10:24:19+00:00","og_image":[{"width":1200,"height":721,"url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg","type":"image\/jpeg"}],"author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Peripheral Intra Arterial Thrombolysis","datePublished":"2015-12-05T01:11:56+00:00","dateModified":"2022-12-16T10:24:19+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/"},"wordCount":456,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg","keywords":["Intra Arterial Thrombolysis","Intracranial bleeds","myocardial infarction","thrombolysis","tissue type plasminogen activator","tPA","Urokinase"],"articleSection":["Angiography and Interventions","Peripheral Vascular Disease"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/","url":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/","name":"Peripheral Intra Arterial Thrombolysis - use urokinase of t-PA","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg","datePublished":"2015-12-05T01:11:56+00:00","dateModified":"2022-12-16T10:24:19+00:00","description":"Peripheral Intra Arterial Thrombolysis: Vessel is cannulated and guidewire passed across the thrombus, heparinise and then deliver thrombolysis.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#primaryimage","url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg","contentUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2015\/12\/Schematic-diagram-of-Peripheral-Intra-Arterial-Thrombolysis.jpg","width":1200,"height":721},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/peripheral-intra-arterial-thrombolysis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Peripheral Intra Arterial Thrombolysis"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/9790","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=9790"}],"version-history":[{"count":4,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/9790\/revisions"}],"predecessor-version":[{"id":57576,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/9790\/revisions\/57576"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media\/57567"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=9790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=9790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=9790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}