Combined Thrombolytic Therapy and Percutaneous Transluminal Angioplasty for Treatment of Complex Arterial Graft Thrombosis—A Case Report

Abstract
Combined catheter-directed thrombolytic therapy followed by percutaneous transluminal angioplasty (PTA) was successfully performed for the treatment of a thrombosed complex mesenteric artery bypass graft resulting from an anasto motic stenosis. Restenosis of the graft due to neointimal hyperplasia was subse quently treated by PTA, with resultant long-term patency. This approach is an attractive alternative to surgical thrombectomy and graft revision, especially in patients who are poor surgical risks owing to concurrent medical problems.