Combined thrombolytic therapy and percutaneous transluminal angioplasty for treatment of complex arterial graft thrombosis--a case report.
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.
Rubin
J R
JR
Department of Surgery, University of Arizona Health Sciences Center, Tucson.
Pond
G D
GD
Bernhard
V M
VM
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*
D011093:Polyethylene Terephthalates; D013300:Streptokinase