Tiefenbrunn A J
Cardiovascular Division, Washington University School of Medicine, St. Louis, MO 63110.
Cathet Cardiovasc Diagn. 1990 Feb;19(2):108-15. doi: 10.1002/ccd.1810190210.
Intracoronary tissue-type plasminogen activator (t-PA) was employed successfully before, after, or in place of coronary artery angioplasty in four patients referred for emergency cardiac catheterization during evolving myocardial infarction. The potential roles of intracoronary thrombolysis, dose considerations for intracoronary t-PA, factors influencing the choice of plasminogen activator, and safety issues are discussed.
在4例因进展性心肌梗死而接受紧急心脏导管插入术的患者中,冠状动脉内组织型纤溶酶原激活剂(t-PA)已成功地在冠状动脉血管成形术前、术后或替代血管成形术时应用。本文讨论了冠状动脉内溶栓的潜在作用、冠状动脉内t-PA的剂量考量、影响纤溶酶原激活剂选择的因素以及安全性问题。