Department of Cardiology, Rashid Hospital, Dubai, United Arab Emirates.
Catheter Cardiovasc Interv. 2011 Jul 1;78(1):72-5. doi: 10.1002/ccd.22875. Epub 2011 Mar 16.
Thrombus remains the bane of interventional cardiology. The use of thrombus extraction devices and distal protection devices has been controversial. Pharmacological modulation using intracoronary (IC) thrombolytic therapy during percutaneous coronary intervention (PCI) is also not an established choice although intravenous thrombolytic therapy is widely accepted and applied treatment of choice for acute ST-elevation myocardial infarction (STEMI). This case report shows successful management of a patient of STEMI using a combination of IC thrombolytic therapy, thrombectomy device, and PCI.
血栓仍然是介入心脏病学的祸根。血栓抽吸装置和远端保护装置的使用一直存在争议。虽然静脉溶栓治疗已被广泛接受并应用于急性 ST 段抬高型心肌梗死（STEMI）的首选治疗方法，但经皮冠状动脉介入治疗（PCI）中使用冠状动脉内（IC）溶栓治疗进行药理学调节也不是既定选择。本病例报告显示了使用 IC 溶栓治疗、血栓切除术装置和 PCI 联合成功治疗 STEMI 患者。
