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Angiology
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Combined Thrombolytic Therapy and Percutaneous Transluminal Angioplasty for Treatment of Complex Arterial Graft Thrombosis—A Case Report

Jeffrey R. Rubin

Department of Surgery, Section of Vascular Surgery, University of Arizona Health Sciences Center, Thcson, Arizona, Department of Surgery, Cleveland Veterans Administration Medical Center, and Case Western Reserve University Hospitals, Cleveland, Ohio

Gerald D. Pond

Department of Radiology, Section of Vascular and Interventional Radiology, University of Arizona Health Sciences Center, Tucson, Arizona

Victor M. Bernhard

Department of Surgery, Section of Vascular Surgery, University of Arizona Health Sciences Center, Thcson, Arizona

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 anasto motic stenosis. Restenosis of the graft due to neointimal hyperplasia was subse quently 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.

Angiology, Vol. 39, No. 2, 169-173 (1988)
DOI: 10.1177/000331978803900207


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This article has been cited by other articles:


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VASC ENDOVASCULAR SURGHome page
T. Sueda, Y. Matsuura, S. Hayashi, H. Ishihara, Y. Hamanaka, K. Kanehiro, T. Yamaguchi, and H. Fukuoka
Combined Therapy for Arterial Stenosis with Angioscopy and Transluminal Balloon Angioplasty After PTFE Grafting A Case Report
Vascular and Endovascular Surgery, November 1, 1989; 23(6): 491 - 496.
[Abstract] [PDF]



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