Journal article
Management of Infrainguinal Occluded Vein Bypasses With a Combined Approach of Thrombolysis and Surveillance: A Prospective Study
Archives of surgery (Chicago. 1960), Vol.127(8), pp.986-989
08/01/1992
DOI: 10.1001/archsurg.1992.01420080120020
PMID: 1386507
Abstract
• Intra-arterial thrombolysis with urokinase was attempted on 23 occluded infrainguinal vein bypasses. Lesions revealed by thrombolysis included 11 anastomotic stenoses, five midbypass stenoses, five native artery stenoses, and five unusable diffusely stenotic vein conduits. Adjunctive procedures performed immediately after successful thrombolysis included 10 local surgical revisions, five balloon angioplasties, and five new vein bypasses. Three nonanastomotic vein bypass stenoses and two common iliac artery stenoses were detected using a surveillance protocol in subsequent follow-up of patients with patent bypasses. Twelve-month patency following thrombolysis (including immediate failures) was 52.4%. The use of thrombolysis in the management of occluded vein bypasses allows the identification and correction of pathological lesions. Once revised, continued vein bypass patency may be improved with a surveillance program.(Arch Surg. 1992;127:986-989)
Details
- Title: Subtitle
- Management of Infrainguinal Occluded Vein Bypasses With a Combined Approach of Thrombolysis and Surveillance: A Prospective Study
- Creators
- Brian V MillerWilliam J SharpJamal J HoballahTimothy F KresowikAndrew H CraggTony P SmithNobuo HakagawaMonte BrummerJohn D Corson
- Resource Type
- Journal article
- Publication Details
- Archives of surgery (Chicago. 1960), Vol.127(8), pp.986-989
- DOI
- 10.1001/archsurg.1992.01420080120020
- PMID
- 1386507
- NLM abbreviation
- Arch Surg
- ISSN
- 0004-0010
- eISSN
- 1538-3644
- Publisher
- American Medical Association
- Language
- English
- Date published
- 08/01/1992
- Academic Unit
- Radiology; Surgery
- Record Identifier
- 9984051540202771
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