Intracerebral hemorrhage complicating urokinase infusion into an occluded aortocoronary bypass graft

Cathet Cardiovasc Diagn. 1994 Mar;31(3):206-10. doi: 10.1002/ccd.1810310309.

Abstract

Selective infusion of urokinase into occluded coronary bypass vein grafts is effective in restoring patency. We report the occurrence of intracerebral hemorrhage complicating an intra-graft urokinase infusion protocol. The patient had known cerebral vascular structural pathology without recent clinical complications. Caution with the use of thrombolysis in this setting is suggested.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Hemorrhage / chemically induced*
  • Contraindications
  • Coronary Artery Bypass*
  • Graft Occlusion, Vascular / drug therapy*
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Saphenous Vein / transplantation
  • Thrombolytic Therapy / adverse effects*
  • Time Factors
  • Urokinase-Type Plasminogen Activator / administration & dosage
  • Urokinase-Type Plasminogen Activator / adverse effects*
  • Urokinase-Type Plasminogen Activator / therapeutic use

Substances

  • Urokinase-Type Plasminogen Activator