Hurley D V, Bresnahan D R, Holmes D R
Mayo Clinic, Rochester, MN 55905.
Cathet Cardiovasc Diagn. 1989 Oct;18(2):67-72. doi: 10.1002/ccd.1810180203.
The precise timing of intravenous thrombolysis and coronary angioplasty continues to be evaluated for patients who have coronary thrombosis and unstable angina or postinfarction angina. Coronary angioplasty is effective for these patients but is associated with thromboembolic coronary occlusion in 24% to 29% of cases. After adjunctive intravenous thrombolysis and oral antiplatelet therapy to improve the success rate and to decrease the risk of acute occlusion, deferred angioplasty was successful in three patients with intracoronary thrombus and unstable angina or postinfarction angina. Staged thrombolysis and deferred angioplasty is feasible for selected patients with these acute coronary syndromes.
对于患有冠状动脉血栓形成、不稳定型心绞痛或心肌梗死后心绞痛的患者，静脉溶栓和冠状动脉血管成形术的精确时机仍在评估中。冠状动脉血管成形术对这些患者有效，但在24%至29%的病例中与血栓栓塞性冠状动脉闭塞有关。在辅助静脉溶栓和口服抗血小板治疗以提高成功率并降低急性闭塞风险后，延迟血管成形术在三名患有冠状动脉内血栓形成、不稳定型心绞痛或心肌梗死后心绞痛的患者中取得了成功。对于选定的患有这些急性冠状动脉综合征的患者，分期溶栓和延迟血管成形术是可行的。
