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Angiology
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Compression of Vein Graft by Hematoma During Fibrinolytic Therapy Simulating Intrinsic Venous Stricture—A Case Report

Seymour Sprayregen, M.D.

Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, New York, New York

Curtis W. Bakal, M.D.

Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, New York, New York

Jacob Cynamon, M.D.

Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, New York, New York

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.

Angiology, Vol. 44, No. 1, 81-84 (1993)
DOI: 10.1177/000331979304400114
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