Andersen R L, Kemp H G
Department of Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY 10025.
Cathet Cardiovasc Diagn. 1989 Sep;18(1):20-2. doi: 10.1002/ccd.1810180107.
Recanalization of a chronically occluded aortocoronary saphenous vein graft was performed, using a prolonged intracoronary infusion of urokinase followed by percutaneous transluminal coronary angioplasty (PTCA). Despite an angiographically successful result, the patient developed acute myocardial infarction, presumably secondary to distal migration of partially lysed thrombus. One week after successful angioplasty, the graft was once again proximally occluded.
对一条慢性闭塞的主动脉-冠状动脉大隐静脉移植血管进行了再通术,方法是冠状动脉内长时间输注尿激酶,随后进行经皮腔内冠状动脉成形术(PTCA)。尽管血管造影结果成功,但患者发生了急性心肌梗死,推测是部分溶解血栓向远端迁移所致。血管成形术成功一周后,移植血管再次在近端闭塞。