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癌症患者急性冠状动脉支架血栓形成:病例系列报告。

Acute coronary stent thrombosis in cancer patients: a case series report.

机构信息

Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

Korean Circ J. 2012 Jul;42(7):487-91. doi: 10.4070/kcj.2012.42.7.487. Epub 2012 Jul 26.

Abstract

There have been a growing numbers of patients diagnosed with malignancy and coronary artery disease simultaneously or serially. In the era of percutaneous coronary intervention (PCI), stent thrombosis has been a rare but challenging problem. Recently, we experienced two unique cases of acute stent thrombosis in patients with malignancy. The first case showed acute and subacute stent thrombosis after PCI. The second case revealed simultaneous thromboses in stent and non-treated native coronary artery. We believe that we need rigorous precautions in the treatment of patients with coronary artery disease and malignancy, especially with regards to deciding how and whether to revascularize, as well as which anti-platelet agents to select.

摘要

越来越多的患者被同时或先后诊断出患有恶性肿瘤和冠状动脉疾病。在经皮冠状动脉介入治疗(PCI)时代,支架血栓形成已成为一个罕见但极具挑战性的问题。最近,我们遇到了两例恶性肿瘤患者急性支架血栓形成的独特病例。第一个病例在 PCI 后表现为急性和亚急性支架血栓形成。第二个病例显示支架内和未治疗的原生冠状动脉同时血栓形成。我们认为,我们需要在治疗患有冠状动脉疾病和恶性肿瘤的患者时采取严格的预防措施,特别是在决定如何以及是否进行血运重建以及选择哪种抗血小板药物时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d88/3409398/da0188d4e1ec/kcj-42-487-g001.jpg

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