CLINICAL CASE HISTORY OF EPTIFIBATIDE USE DURING CORONARY INTERVENTION IN PATIENT WITH CORONARY FAILURE

Autor: T. S. Kireeva, K. A. Kireev, A. V. Krasnopeev
Rok vydání: 2015
Předmět:
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
Antiplatelet drug
medicine.medical_treatment
RM1-950
чрескожное коронарное вмешательство
Internal medicine
medicine
Diseases of the circulatory (Cardiovascular) system
Pharmacology (medical)
cardiovascular diseases
Medical prescription
эптифибатид
eptifibatide
stent thrombosis
острая коронарная патология
business.industry
percutaneous coronary intervention
lcsh:RM1-950
Percutaneous coronary intervention
Heparin
equipment and supplies
medicine.disease
Clopidogrel
Thrombosis
Surgery
lcsh:Therapeutics. Pharmacology
surgical procedures
operative

medicine.anatomical_structure
lcsh:RC666-701
RC666-701
тромбоз стента
coronary failure
Eptifibatide
Cardiology
Therapeutics. Pharmacology
Cardiology and Cardiovascular Medicine
business
medicine.drug
Artery
Zdroj: Racionalʹnaâ Farmakoterapiâ v Kardiologii, Vol 11, Iss 2, Pp 159-164 (2015)
ISSN: 2225-3653
1819-6446
DOI: 10.20996/1819-6446-2015-11-2-159-164
Popis: Clinical case history of endovascular intervention in infarct related coronary artery with 4 sirolimus-eluting stents implantation and their further thrombosis during early postoperative period is described. Percutaneous coronary intervention was successful after the balanced medication with 2 antiplatelet drugs (acetylsalicylic acid and clopidogrel) and heparin. There were not any reasons for additional prescription of antiplatelet medicine. It seems that one of the main reasons of the stent thrombosis was the extended area of 4 sirolimus-eluting stents implantation into the affected vessel. After the analysis of our clinical case history we propose that for stent thrombosis prevention in multistent (≥4 drugeluting stents) interventions it is necessary to apply additional antiplatelet drug – glycoprotein IIb/IIIa inhibitor eptifibatide.
Databáze: OpenAIRE