Ciampricotti R, Dekkers P J, el Gamal M I, van der Krieken A M, Relik T H
Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
Cathet Cardiovasc Diagn. 1989 Nov;18(3):159-64. doi: 10.1002/ccd.1810180305.
A transluminal intracoronary reperfusion catheter was used in eight patients, seven with acute myocardial infarction and one with unstable angina after failed emergency coronary angioplasty. After placement of the reperfusion catheter across the occlusion, symptoms of ischemia resolved in each patient. Chest pain recurred 3 hr later in a single patient who underwent successful repeat angioplasty. The catheter was withdrawn within 6 hr after introduction. Control coronary angiography showed a patent vessel in all but one. Repeat angioplasty or bypass surgery was unnecessary. During 1 year mean follow-up time all patients remained free of symptoms. The reperfusion catheter is a safe and effective means of perfusing a coronary artery after failure of thrombolytic therapy and coronary angioplasty in cases where emergency bypass surgery is not performed because operative morbidity is expected to outweigh the benefit of myocardial salvage, or when it cannot be immediately organized.
八名患者使用了腔内冠状动脉再灌注导管，其中七名患有急性心肌梗死，一名在急诊冠状动脉血管成形术失败后患有不稳定型心绞痛。在将再灌注导管置于闭塞部位后，每名患者的缺血症状均得到缓解。一名成功接受重复血管成形术的患者在3小时后胸痛复发。导管在引入后6小时内撤出。对照冠状动脉造影显示，除一名患者外，所有患者的血管均通畅。无需进行重复血管成形术或搭桥手术。在平均1年的随访期内，所有患者均无症状。对于因预计手术发病率超过心肌挽救的益处而未进行急诊搭桥手术的情况，或者在无法立即安排手术的情况下，再灌注导管是溶栓治疗和冠状动脉血管成形术失败后灌注冠状动脉的一种安全有效的方法。
