Rentrop P, Blanke H, Karsch K R, Wiegand V, Köstering H, Rahlf G, Oster H, Leitz K
Dtsch Med Wochenschr. 1979 Oct 12;104(41):1438-40. doi: 10.1055/s-0028-1129117.
Coronary angiography was performed 2 hours after onset of complaints in a 57-year-old patient with acute anteroseptal infarction. Using a wire spiral in the coronary catheter the acutely occluded anterior interventricular branch was reopened. With intracoronary streptokinase (120 000 units in 50 minutes) the recanalisation canal was enlarged. The clinical picture and electrocardiographic findings improved under the influence of treatment. An aorto-coronary bypass operation was performed on the following day. The post-operative angiogram showed marked improvement of left ventricular function. The results indicate that this intervention prevented widespread necrosis.
对一名57岁急性前间壁梗死患者，在出现症状2小时后进行了冠状动脉造影。通过冠状动脉导管中的金属丝螺旋装置，重新开通了急性闭塞的前室间支。使用冠状动脉内链激酶（50分钟内注入12万单位）扩大了再通的血管腔。在治疗的影响下，临床症状和心电图表现有所改善。次日进行了主动脉冠状动脉搭桥手术。术后血管造影显示左心室功能有明显改善。结果表明，这种干预措施防止了广泛的心肌坏死。
