Key result
Intracoronary urokinase followed by directional atherectomy resolves complex thrombotic vein graft lesions without distal embolization.
Case Report (n=3)
Intracoronary thrombolysis followed by directional atherectomy may be a feasible alternative to reoperation for complex thrombotic vein graft lesions unsuitable for angioplasty.
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May offer alternative to reoperation in select vein graft lesions; hypothesis-generating and requires prospective validation.
Sabri et al. (1992) conducted a case report in Eccentric complex vein graft lesions with abundant luminal thrombus (n=3). Intracoronary urokinase followed by directional atherectomy was evaluated. Intracoronary urokinase followed by directional atherectomy successfully treated 3 patients with complex thrombotic vein graft lesions, with no distal embolizations encountered.
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