title: Combined thrombolytic therapy and percutaneous transluminal angioplasty for treatment of complex arterial graft thrombosis--a case report.
abstract: Combined catheter-directed thrombolytic therapy followed by percutaneous transluminal angioplasty (PTA) was successfully performed for the treatment of a thrombosed complex mesenteric artery bypass graft resulting from an anastomotic stenosis. Restenosis of the graft due to neointimal hyperplasia was subsequently treated by PTA, with resultant long-term patency. This approach is an attractive alternative to surgical thrombectomy and graft revision, especially in patients who are poor surgical risks owing to concurrent medical problems.
authors.affiliation: Department of Surgery, University of Arizona Health Sciences Center, Tucson.
authors.forename: J R
authors.initials: JR
authors.lastname: Rubin
authors.forename: G D
authors.initials: GD
authors.lastname: Pond
authors.forename: V M
authors.initials: VM
authors.lastname: Bernhard
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon; D001012:Aorta, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery*; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000637:transplantation*; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy / Q000628:therapy*
chemical_list: D011093:Polyethylene Terephthalates; D013300:Streptokinase