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Recanalization of totally occluded saphenous vein grafts using local urokinase delivery with the dispatchTM catheter

✍ Scribed by Glazier, James J. ;Bauer, Hans H. ;Kiernan, Francis J. ;Primiano, Charles A. ;Mitchel, Joseph F. ;Dougherty, James E. ;Waters, David D. ;McKay, Raymond G.

Publisher: John Wiley and Sons
Year: 1995
Tongue: English
Weight: 843 KB
Volume: 36
Category: Article
ISSN: 0098-6569
DOI: 10.1002/ccd.1810360409

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✦ Synopsis

Current techniques for the percutaneous revascularization of totally occluded vein grafts are limited by a low initial success rate, a significant incidence of distal embolization, and a high rate of early graft reclosure. This case report describes two patients in whom graft recanalization was attempted with the combined use of balloon angloplasty/intra-graft stent placement and local uroklnase delivery using a new angiotherapy catheter. Successful recanalization was achieved in both patients without major complications, in spite of a large thrombus burden as demonstrated by anglography.

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✍ Glazier, James J. ;Kiernan, Francis J. ;Bauer, Hans H. ;Fram, Daniel B. ;Primian 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 221 KB

Percutaneous treatment of thrombotic stenoses or total occlusions in aged saphenous vein bypass grafts is associated with a significant incidence of complications primarily related to distal embolization. The purpose of this study was to assess the efficacy of local urokinase delivery with the Dispa