Abstract
A 56-year-old man was admitted to our department with acute critical left leg ischemia. He had undergone multiple arterial reconstructions of the affected leg over the past 2 years. The last reconstruction was a femorotibial composite silver-impregnated Dacron autologous saphenous vein bypass. Digital subtraction angiography (DSA) showed occlusion of the graft; therefore, selective transcatheter thrombolysis with tissue plasminogen activator ([tPA] alteplase) was started. The 10-mg bolus dose was followed by continuous infusion at a rate of 2.0 mg/h.
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