Successful use of continuous vasodilator infusion to treat critical vasospasm threatening a distal bypass

0Citations
Citations of this article
6Readers
Mendeley users who have this article in their library.

Abstract

Vasospasm immediately after lower extremity arterial bypass may represent an uncommon cause of early graft failure. We report a successful case of catheter-directed, intra-arterial continuous vasodilator infusion to salvage a bypass graft threatened by severe, refractory vasospasm after incomplete response to nicardipine, verapamil, and nitroglycerin boluses. A continuous nitroglycerin infusion was administered for 24 hours, by which time the vasospasm resolved. At 12 months postoperatively, the graft remained patent with normal results of vascular laboratory studies. This report demonstrates that in cases of refractory vasospasm after peripheral bypass, continuous vasodilator infusion can be an effective treatment to prevent early graft failure.

Cite

CITATION STYLE

APA

Magee, G. A., Plotkin, A., Yi, J. A., Bowser, K. E., & Kuwayama, D. P. (2018). Successful use of continuous vasodilator infusion to treat critical vasospasm threatening a distal bypass. Journal of Vascular Surgery Cases and Innovative Techniques, 4(1), 58–62. https://doi.org/10.1016/j.jvscit.2017.12.003

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free