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急性经皮冠状动脉腔内血管成形术并发栓塞至远离梗死部位的冠状动脉。

Acute percutaneous transluminal coronary angioplasty complicated by embolism to a coronary artery remote from the site of infarction.

作者信息

Saenz C B, Harrell R R, Sawyer J A, Hood W P

出版信息

Cathet Cardiovasc Diagn. 1987 Jul-Aug;13(4):266-8. doi: 10.1002/ccd.1810130408.

DOI:10.1002/ccd.1810130408
PMID:2957058
Abstract

Percutaneous transluminal coronary angioplasty has emerged as a mode of treatment in patients with both chronic and acute coronary syndromes. Among the recognized complications of coronary angioplasty is coronary embolism. This case report describes a case of acute anterior myocardial infarction which was treated with angioplasty of the left anterior descending coronary artery. Postdilation angiography revealed obstruction of the posterior descending artery (in a left dominant system). The use of thrombolytic therapy previous to angioplasty is briefly discussed.

摘要

经皮腔内冠状动脉成形术已成为治疗慢性和急性冠状动脉综合征患者的一种治疗方式。冠状动脉成形术公认的并发症之一是冠状动脉栓塞。本病例报告描述了一例急性前壁心肌梗死患者,该患者接受了左前降支冠状动脉成形术治疗。球囊扩张术后血管造影显示后降支动脉(左优势系统)阻塞。简要讨论了在血管成形术前使用溶栓治疗的情况。

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