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在冠状动脉血管成形术效果欠佳48小时后进行冠状动脉支架植入术以处理急性血管闭塞。

Coronary stent implantation in acute vessel closure 48 hours after an unsatisfactory coronary angioplasty.

作者信息

Haude M, Erbel R, Straub U, Dietz U, Schatz R, Meyer J

机构信息

2nd Medical Clinic, Johannes Gutenberg University, Mainz, Federal Republic of Germany.

出版信息

Cathet Cardiovasc Diagn. 1990 Dec;21(4):263-5. doi: 10.1002/ccd.1810210413.

DOI:10.1002/ccd.1810210413
PMID:2276200
Abstract

We report the implantation of a balloon-expandable stent in a patient with acute vessel closure in the state of evolving myocardial infarction following 48 hr after unsatisfactory coronary angioplasty. The stent was implanted after successful recanalization of an occluded left anterior descending artery, with repeated unsatisfactory results of balloon angioplasty. Adjunct thrombolytic therapy was contraindicated. No residual stenosis was documented in immediate control angiograms, or after 24 hr, 3 weeks, and 4 months.

摘要

我们报告了一例在冠状动脉成形术效果不佳48小时后,处于进展性心肌梗死状态且出现急性血管闭塞的患者中植入球囊扩张支架的情况。在闭塞的左前降支成功再通后植入支架,此前球囊血管成形术的结果反复不理想。辅助溶栓治疗存在禁忌证。即时控制血管造影以及术后24小时、3周和4个月时均未发现残余狭窄。

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