A complication of prolonged urokinase infusion into a chronically occluded aortocoronary saphenous vein graft.
Recanalization of a chronically occluded aortocoronary saphenous vein graft was performed, using a prolonged intracoronary infusion of urokinase followed by percutaneous transluminal coronary angioplasty (PTCA). Despite an angiographically successful result, the patient developed acute myocardial infarction, presumably secondary to distal migration of partially lysed thrombus. One week after successful angioplasty, the graft was once again proximally occluded.
Andersen
R L
RL
Department of Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY 10025.
Kemp
H G
HG
D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000628:therapy*; D004617:Embolism / Q000209:etiology; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000009:adverse effects*; D014654:Vascular Patency
D014568:Urokinase-Type Plasminogen Activator