Compression of vein graft by hematoma during fibrinolytic therapy simulating intrinsic venous stricture--a case report.
Narrowing of a vein graft at an area of perigraft extravasation was encountered during fibrinolytic therapy for graft thrombosis. With cessation of fibrinolytic therapy, extravasation ceased and the vein lumen widened. Extrinsic compression and/or spasm due to a hematoma should be included as causes of vein graft narrowing in patients undergoing fibrinolytic therapy.
Sprayregen
S
S
Department of Radiology, Montefiore Medical Center, New York, New York.
Bakal
C W
CW
Cynamon
J
J
D000368:Aged; D000369:Aged, 80 and over; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000188:drug therapy*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*; D013300:Streptokinase / Q000009:adverse effects / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000009:adverse effects*
D013300:Streptokinase