Vavuranakis M, Stefanadis C, Eaton G, Toutouzas P
Department of Cardiology, University of Athens, Haimanda 24-26, Marousi 15122, Athens, Greece.
J Invasive Cardiol. 1999 Aug;11(8):513-6.
Thrombotic occlusion of an ectatic coronary artery may not respond to thrombolytic therapy or balloon angioplasty, since the infarct-related vessel contains a significant amount of thrombus. A patient with acute myocardial infarction of an ectatic right coronary artery that was occluded by a heavy clot burden is described. The patient was treated successfully with transluminal extraction catheter atherectomy and results were confirmed by intravascular ultrasound.
扩张型冠状动脉的血栓闭塞可能对溶栓治疗或球囊血管成形术无反应,因为梗死相关血管内含有大量血栓。本文描述了一名因大量血栓负荷导致扩张型右冠状动脉急性心肌梗死的患者。该患者经腔内血栓抽吸导管斑块切除术成功治疗,血管内超声证实了治疗效果。