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急性心肌梗死合并扩张型冠状动脉病变患者的局部冠状动脉内纤溶治疗:阿昔单抗治疗时代之后。

Local Intracoronary Fibrinolysis in Acute Myocardial Infarction of Ectatic Coronary Arteries in the Post-Abciximab Era.

机构信息

Interventional Cardiology Unit, Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain; San Pablo CEU University, Madrid, Spain; Interventional Cardiology Unit, Hospital Universitario HLA Moncloa, Madrid, Spain.

Interventional Cardiology Unit, Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain; Interventional Cardiology Unit, Hospital Universitario HLA Moncloa, Madrid, Spain.

出版信息

Cardiovasc Revasc Med. 2021 Nov;32:69-74. doi: 10.1016/j.carrev.2021.01.005. Epub 2021 Jan 14.

DOI:10.1016/j.carrev.2021.01.005
PMID:33514487
Abstract

Percutaneous intervention in the context of coronary artery ectasia (CAE) is penalized with no-reflow phenomenon. The glycoprotein-IIb/IIIa-inhibitor abciximab was the most accepted method for pharmacology thrombus resolution in this scenario, nevertheless, this agent was recently withdrawn. We describe 5 patients treated with local intracoronary fibrinolysis administrated through predesigned catheters in the setting of AMI and CAE.

摘要

经皮介入治疗在冠状动脉扩张(CAE)的情况下会受到无复流现象的影响。糖蛋白 IIb/IIIa 抑制剂阿昔单抗是这种情况下最被接受的血栓溶解药理学方法,但最近已被撤回。我们描述了 5 例 AMI 和 CAE 患者使用预先设计的导管进行局部冠状动脉内溶栓治疗的情况。

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