Accelerated thrombolysis facilitated by direct puncture of occluded prosthetic femoral grafts.
Inability to access occluded grafts is a major limitation to successful thrombolysis and may even preclude it. This paper addresses the problem and offers a new technique of direct puncture of prosthetic grafts through which thrombolysis and angioplasty can be performed. These techniques resulted in accelerated thrombolysis in all 15 patients studied with no failures due to inability to attain graft access.
Page
J E
JE
Department of Diagnostic Radiology, St. George's Hospital, London.
Buckenham
T M
TM
Taylor
R S
RS
D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods; D001807:Blood Vessel Prosthesis; D003131:Combined Modality Therapy; D005263:Femoral Artery / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery; D011677:Punctures / Q000295:instrumentation / Q000379:methods; D015641:Radiography, Interventional; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000188:drug therapy / Q000628:therapy*; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use; D014654:Vascular Patency
D011138:Polytetrafluoroethylene; D010959:Tissue Plasminogen Activator