Catalogo Articoli (Spogli Riviste)


Percutaneous transluminal therapy of occluded saphenous vein grafts - Can the challenge be met with ultrasound thrombolysis?
Rosenschein, U; Gaul, G; Erbel, R; Amann, F; Velasguez, D; Stoerger, H; Simon, R; Gomez, G; Troster, J; Bartorelli, A; Pieper, M; Kyriakides, Z; Laniado, S; Miller, HI; Cribier, A; Fajadet, J;
Telv,viv Sourasky Med Ctr, Dept Cardiol, Catheterizat Lab, IL-64239 Tel Avi Tel Aviv Sourasky Med Ctr Tel Aviv Israel IL-64239 Lab, IL-64239 Tel Avi Hanusch KH, Vienna, Austria Hanusch KH Vienna AustriaHanusch KH, Vienna, Austria Univ Essen Klinikum, Essen, Germany Univ Essen Klinikum Essen GermanyUniv Essen Klinikum, Essen, Germany Univ Spital Zurich, Zurich, Switzerland Univ Spital Zurich Zurich Switzerland pital Zurich, Zurich, Switzerland Medellin Clin, Medellin, Colombia Medellin Clin Medellin ColombiaMedellin Clin, Medellin, Colombia Herzzentrum Frankfurt, Frankfurt, Germany Herzzentrum Frankfurt Frankfurt Germany m Frankfurt, Frankfurt, Germany Univ Kiel, Kiel, Germany Univ Kiel Kiel GermanyUniv Kiel, Kiel, Germany Shaio Clin, Bogota, Colombia Shaio Clin Bogota ColombiaShaio Clin, Bogota, Colombia Stadt Klinikum Oldenburg, Oldenburg, Germany Stadt Klinikum Oldenburg Oldenburg Germany ldenburg, Oldenburg, Germany Ctr Cardiol Milan, Milan, Italy Ctr Cardiol Milan Milan ItalyCtr Cardiol Milan, Milan, Italy Herzzentrum Bodensee, Kreuzlingen, Switzerland Herzzentrum Bodensee Kreuzlingen Switzerland , Kreuzlingen, Switzerland Onassis Cardiac Surg Ctr, Athens, Greece Onassis Cardiac Surg Ctr AthensGreece Cardiac Surg Ctr, Athens, Greece Hosp Charles Nicolle, Rouen, France Hosp Charles Nicolle Rouen FranceHosp Charles Nicolle, Rouen, France Clin Pasteur, Toulouse, France Clin Pasteur Toulouse FranceClin Pasteur, Toulouse, France
Titolo Testata:
fascicolo: 1, volume: 99, anno: 1999,
pagine: 26 - 29
thrombolysis; ultrasonics; grafting; occlusion; bypass;
Tipo documento:
Settore Disciplinare:
Clinical Medicine
Life Sciences
Indirizzi per estratti:
Indirizzo: Rosenschein, U Tel-64239Sourasky Med Ctr, Dept Cardiol, Catheterizat Lab, 6 Weizman St, IL Tel Aviv Sourasky Med Ctr 6 Weizman St Tel Aviv Israel IL-64239
U. Rosenschein et al., "Percutaneous transluminal therapy of occluded saphenous vein grafts - Can the challenge be met with ultrasound thrombolysis?", CIRCULATION, 99(1), 1999, pp. 26-29


Background-Percutaneous transluminal treatment of a thrombotic vein graft yields poor results. We have previously reported our experience with transluminal percutaneous coronary ultrasound thrombolysis (CUT) in the setting of acute myocardial infarction (AMI). This report describes the first experience with ultrasound thrombolysis in thrombus-rich lesions in saphenous vein grafts (SVGs), most of which were occluded,Methods and Results-The patients (n=20) were mostly male (85%), aged 64+/-4 years old, The presenting symptom was AMI in 2 patients (10%) and unstable angina in the rest. Fifteen patients (75%) had totally occluded SVGs, Themedian age of clots was 6 days (range, 0 to 100 days). The ultrasound thrombolysis device has a 1.6-mm-long tip and fits into a 7F guiding catheter over a 0.014-in guidewire in a "rapid-exchange" system. CUT (41 kHz, 18 W, less than or equal to 6 minutes) led to device success in 14 (70%) of the patients and residual stenosis of 65+/-28%. Procedural success was obtained in 13 (65%) of the patients, with a final residual stenosis of 5+/-8%, Therewas a low rate of device-related adverse events: 1 patient (5%) had a non-Q-wave myocardial infarction, and distal embolization was noted in 1 patient (5%). Adjunct PTCA or stenting was used in all patients, There were no serious adverse events during hospitalization. Conclusions-Ultrasound thrombolysis in thrombus-rich lesions in SVGs offers a very promising therapeutic option.

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Documento generato il 05/04/20 alle ore 04:01:20