Parodi Guido, Antoniucci David
Division of Cardiology, Careggi Hospital, Florence, Italy.
Catheter Cardiovasc Interv. 2004 Apr;61(4):515-7. doi: 10.1002/ccd.10783.
We report a case of coronary stent thrombosis that occurred 6 months after the primary stenting of the left anterior descending coronary artery for acute myocardial infarction in a 75-year-old man. The reinfarction occurred the day after the demonstration of persistent optimal result of the percutaneous coronary intervention and immediately after exercise testing. A combined approach of a mechanical thrombus burden reduction by using AngioJet thrombectomy with adjunctive glycoprotein IIb/IIIa antagonist was performed, resulting in the complete removal of filling defects on the angiography.
我们报告了一例冠状动脉支架血栓形成的病例，该病例发生在一名75岁男性因急性心肌梗死对左前降支冠状动脉进行初次支架置入术后6个月。再梗死发生在经皮冠状动脉介入治疗显示持续最佳效果后的第二天，且在运动试验后立即发生。采用了联合方法，即使用AngioJet血栓切除术减轻机械性血栓负荷并辅助使用糖蛋白IIb/IIIa拮抗剂，结果在血管造影中完全消除了充盈缺损。
