How long can a coronary reperfusion catheter be placed in acute coronary occlusion following failed transluminal coronary angioplasty? A case report
| Autor: | Kazushige Isojima, Akira Kurita, Hidetaka Seguchi, Haruo Nakamura, Akira Miyamoto, Kyoichi Mizuno, Naohiro Hakamada, Kimio Satomura |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
Cardiac Catheterization Time Factors medicine.medical_treatment Coronary Disease Myocardial Reperfusion Coronary Angiography Coronary circulation Internal medicine Angioplasty Coronary Circulation Medicine Humans Angioplasty Balloon Coronary Coronary Artery Bypass Cardiac catheterization Aged business.industry Anticoagulants Catheter medicine.anatomical_structure Bypass surgery Coronary occlusion Acute Disease Cardiology Female Cardiology and Cardiovascular Medicine business Complication Artery |
| Zdroj: | Angiology. 42(1) |
| ISSN: | 0003-3197 |
| Popis: | A coronary reperfusion catheter (CRC) is designed to preserve antegrade coronary flow when abrupt coronary closure occurs during percutaneous trans luminal coronary angioplasty (PTCA). Insertion of the catheter to an occluded coronary artery for a few hours has been reported to be effective for myocardial salvage: however, it is unknown how long the catheter can be kept in place without causing extension of myocardial ischemia. The authors experienced a case in which the CRC was kept in place for twenty-four hours for anticoagulant therapy of an occluded coronary artery following failure of PTCA. This case suggests that adequate anticoagulant therapy can prolong the period during which a CRC can be kept in place if emergency coronary bypass surgery cannot be performed immediately after failure of coronary angioplasty. |
| Databáze: | OpenAIRE |
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