Karalis D G, Kaulback K W, Ross J J, Uricchio F J, Chandrasekaran K
Department of Cardiology, Hahnemann University Hospital, Philadelphia, PA 19102.
Cathet Cardiovasc Diagn. 1994 Mar;31(3):199-201. doi: 10.1002/ccd.1810310307.
Arterial embolization from thrombolytic therapy for acute myocardial infarction is rare. We report two cases of spontaneous arterial embolization following the use of tissue plasminogen activator for acute myocardial infarction. Transesophageal echocardiography was able to identify the source of embolism as mobile atherosclerotic debris within the thoracic aorta. This information was of value in the management of these patients, in that femoral catheterization which could have precipitated further embolization was avoided.
急性心肌梗死溶栓治疗引起的动脉栓塞很少见。我们报告了两例在使用组织型纤溶酶原激活剂治疗急性心肌梗死后发生自发性动脉栓塞的病例。经食管超声心动图能够确定栓塞源为胸主动脉内可移动的动脉粥样硬化碎片。这些信息对这些患者的治疗很有价值，因为避免了可能会引发进一步栓塞的股动脉插管操作。
