Grollier G, Commeau P, Bories H, Iselin M, Foucault J P, Potier J C
Ann Cardiol Angeiol (Paris). 1984 Nov;33(7):435-9.
The authors report three cases of myocardial infarction in which an attempt at intra-coronary fibrinolysis in the acute phase was either transiently effective or totally ineffective. In these three cases, percutaneous endoluminal dilatation was possible allowing restoration of correct coronary flow. The place of percutaneous angioplasty is therefore discussed either immediately after fibrinolysis, when the risk of re-thrombosis appears to be greatest or perhaps in the absence of an attempt at clot lysis, when fibrinolytic treatment is contra-indicated.
作者报告了3例心肌梗死病例，其中急性期冠状动脉内纤溶治疗的尝试要么暂时有效，要么完全无效。在这3例病例中，可以进行经皮腔内扩张术以恢复冠状动脉的正常血流。因此，讨论了经皮血管成形术的时机，要么在纤溶治疗后立即进行，此时再血栓形成的风险似乎最大；要么在未尝试溶栓治疗且纤溶治疗禁忌时进行。
