title: Successful thrombolytic therapy for acute and chronic occlusion of polytef vascular grafts.
abstract: Thrombolytic therapy for thrombosed arterial bypass grafts has received little attention in the medical literature. We carried out successful thrombolysis in occluded polytef arterial bypass grafts. A femoral-femoral artery crossover graft had been occluded 13 days, and a femoral-popliteal artery bypass graft had been occluded three months. No surgical intervention was required. Follow-up showed continued patency nine months following thrombolytic therapy. Long-term oral anticoagulation seems indicated. Also, data suggest thrombus in polytef grafts may be particularly susceptible to lyses. Thrombolytic therapy should play an increasing role in vascular surgery.
mesh_terms: D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011150:Popliteal Artery / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy
chemical_list: D005343:Fibrinolytic Agents; D011138:Polytetrafluoroethylene; D013300:Streptokinase