Cieza Tomas, Bilodeau Luc
Montreal Heart Institute, Montreal, Canada.
Can J Cardiol. 2006 Oct;22(12):1071-4. doi: 10.1016/s0828-282x(06)70324-5.
A 41-year-old man was referred to the Montreal Heart Institute, Montreal, Quebec, for primary angioplasty of an acute anterolateral wall myocardial infarction. Coronary angiography revealed the culprit lesion to be a subtotal left main coronary artery with Thrombolysis In Myocardial Infarction (TIMI) trial grade 1 flow associated with a filling defect compatible with an aggressive thrombotic process. The use of rheolytic thrombectomy and a drug-eluting stent for this distal left main target lesion are described.
一名41岁男性因急性前壁心肌梗死接受直接血管成形术,被转诊至魁北克省蒙特利尔市的蒙特利尔心脏研究所。冠状动脉造影显示,罪犯病变为左主干冠状动脉次全闭塞,心肌梗死溶栓试验(TIMI)血流1级,伴有与侵袭性血栓形成过程相符的充盈缺损。本文描述了针对该左主干远端靶病变使用血栓溶解切除术和药物洗脱支架的情况。