[Recanalization of an acutely occluded coronary bypass: combined local and systemic streptokinase administration].
Renewed severe angina occurred in a 57-year-old patient 14 months after a quadruple aortocoronary graft. Angiography demonstrated acute occlusion of a posterolateral graft. After 120 minutes of local streptokinase infusion (2000 IU/min) there was partial recanalization, with complete thrombolysis and graft recanalization after subsequent intravenous streptokinase infusion (30 000 IU/min for 90 minutes). Contrary to the situation in early postoperative graft thrombosis, acute late occlusion can be successfully lysed without increased risk of bleeding (haemopericardium).
D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D013300:Streptokinase / Q000008:administration & dosage* / Q000627:therapeutic use; D013927:Thrombosis / Q000188:drug therapy* / Q000209:etiology
D013300:Streptokinase
Rekanalisation eines akut verschlossenen Koronar-Bypass. Kombinierte lokale und systemische Streptokinase Applikation.