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经桡动脉冠状动脉内导管抽吸栓子切除术治疗二尖瓣置换术后急性冠状动脉栓塞

Transradial intracoronary catheter-aspiration embolectomy for acute coronary embolism after mitral valve replacement.

作者信息

Hung Wei-Chin, Wu Chiung-Jen, Chen Wei-Jen, Yang Cheng-Hsu, Chang Jen-Ping

机构信息

Section of Cardiology, Division of Internal Medicine, Chang Gung Memorial Hospital at Kaohsiung, Taiwan, Republic of China.

出版信息

Tex Heart Inst J. 2003;30(4):316-8.

PMID:14677745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC307720/
Abstract

An anticoagulated 51-year-old woman with a mechanical mitral prosthesis, which had been implanted 12 years earlier, sustained an acute anterior wall myocardial infarction caused by an embolus in the mid left anterior descending coronary artery. After treatment with tissue-plasminogen activator failed to lyse the obstruction, we performed intracoronary catheter-aspiration embolectomy via a transradial approach, which yielded a favorable result.

摘要

一名51岁使用机械二尖瓣假体的抗凝女性，该假体已植入12年，因左前降支冠状动脉中段的栓子导致急性前壁心肌梗死。在用组织纤溶酶原激活剂治疗未能溶解阻塞后，我们通过桡动脉途径进行了冠状动脉内导管抽吸血栓切除术，取得了良好效果。

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