RECANALIZATION OF TOTALLY OCCLUDED SAPHENOUS-VEIN CRAFTS USING LOCAL UROKINASE DELIVERY WITH THE DISPATCH(TM) CATHETER

Authors
GLAZIER JJ BAUER HH KIERNAN FJ PRIMIANO CA MITCHEL JF DOUGHERTY JE WATERS DD MCKAY RG
Citation
Jj. Glazier et al., RECANALIZATION OF TOTALLY OCCLUDED SAPHENOUS-VEIN CRAFTS USING LOCAL UROKINASE DELIVERY WITH THE DISPATCH(TM) CATHETER, Catheterization and cardiovascular diagnosis, 36(4), 1995, pp. 326-332
Citations number
28
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
Catheterization and cardiovascular diagnosis → ACNP
ISSN journal
00986569
Volume
36
Issue
4
Year of publication
1995
Pages
326 - 332
Database
ISI
SICI code
0098-6569(1995)36:4<326:ROTOSC>2.0.ZU;2-2
Abstract
Current techniques for the percutaneous revascularization of totally o ccluded vein grafts are limited by a low initial success rate, a signi ficant incidence of distal embolization, and a high rate of early graf t reclosure. This case report describes two patients in whom graft rec analization was attempted with the combined use of balloon angioplasty /intra-graft stent placement and local urokinase delivery using a new angiotherapy catheter. Successful recanalization was achieved in both patients without major complications, in spite of a large thrombus bur den as demonstrated by angiography. (C) 1995 Wiley-Liss, Inc.