Efficacy of angioscopy in determining the effectiveness of intracoronary urokinase and TEC atherectomy thrombus removal from an occluded saphenous vein graft prior to stent implantation.
Percutaneous revascularization of thrombus containing saphenous vein grafts is associated with a high incidence of acute complications. This case report describes successful revascularization of an occluded vein graft employing angioscopically guided sequential urokinase infusion, TEC atherectomy and stent implantation.
Kaplan
B M
BM
William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Safian
R D
RD
Goldstein
J A
JA
Grines
C L
CL
O'Neill
W W
WW
D017546:Angioscopy; D017225:Atherectomy, Coronary; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006083:Graft Occlusion, Vascular / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000008:administration & dosage*; D012501:Saphenous Vein; D015607:Stents; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator