Goldberg L, Ricci M T, Sauvage L R, Paulson P S, Davis C C, Smith J C, Rittenhouse E A, Hall D G, Mansfield P B
Surg Gynecol Obstet. 1985 Jun;160(6):491-8.
Selective intra-arterial streptokinase therapy successfully reopened ten axillofemoral and lower extremity Dacron bypass grafts that had undergone delayed closure from two to 47 months after implantation. In four, completion arteriograms revealed no runoff obstruction acquired since implantation; additional runoff obstruction had developed in the remaining six. All of the grafts without obstruction have remained open from two to 11 months. Three of the six grafts with obstruction have remained open from two and one-half to four months after specific surgical correction of the obstructive lesion. We conclude that intra-arterial streptokinase therapy is an effective means to reopen knitted Dacron grafts that have undergone delayed closure in the axillofemoral and above-knee femoropopliteal positions.
选择性动脉内链激酶治疗成功地使10例腋股及下肢涤纶旁路移植血管再通，这些移植血管在植入后2至47个月出现了延迟闭塞。4例患者的血管造影显示自植入后未出现新的血流动力学障碍；其余6例出现了新的血流动力学障碍。所有未出现血流动力学障碍的移植血管在2至11个月内保持通畅。6例出现血流动力学障碍的移植血管中，3例在对阻塞性病变进行特定手术矫正后，在2.5至4个月内保持通畅。我们得出结论，动脉内链激酶治疗是使腋股及膝上股腘位置发生延迟闭塞的针织涤纶移植血管再通的有效方法。
