Gottlieb S O, Guzman P A, Brin K P, Walford G D, Brinker J A
Cathet Cardiovasc Diagn. 1985;11(4):379-87. doi: 10.1002/ccd.1810110405.
The feasibility, safety and efficacy of performing left heart catheterization, coronary angiography, and intracoronary thrombolytic therapy in the coronary care unit setting were examined in 17 patients with acute ischemic syndromes presenting at a time when routine catheterization facilities were not available. In all cases, cardiac catheterization and coronary angiography were performed in the coronary care unit without difficulty using a portable image intensifier and a portable video recording system, and selective intracoronary streptokinase was safely administered in 13 patients with a total coronary occlusion, with successful thrombolysis in seven patients (54%). No adverse effects attributable to the performance of these procedures in the coronary care unit were observed. This approach might allow for a more prompt response and wider availability of intracoronary thrombolytic therapy for patients presenting with acute myocardial infarction.
在17例急性缺血综合征患者中，研究了在冠心病监护病房环境下进行左心导管插入术、冠状动脉造影和冠状动脉内溶栓治疗的可行性、安全性和有效性。这些患者就诊时常规导管插入设备不可用。在所有病例中，使用便携式影像增强器和便携式视频记录系统，在冠心病监护病房顺利进行了心脏导管插入术和冠状动脉造影，13例冠状动脉完全闭塞患者安全给予了选择性冠状动脉内链激酶，7例患者（54%）溶栓成功。未观察到在冠心病监护病房进行这些操作引起的不良反应。这种方法可能使急性心肌梗死患者能更快地接受冠状动脉内溶栓治疗，且该治疗的可及性更高。
