Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome
| Autor: | Makoto Furugen, Yoshitoki Takagawa |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Staged Percutaneous Coronary Intervention
Cardiac Catheterization Acute coronary syndrome medicine.medical_specialty medicine.medical_treatment Coronary Angiography Balloon Risk Assessment Internal medicine Angioplasty medicine Humans Thrombolytic Therapy Radiology Nuclear Medicine and imaging cardiovascular diseases Acute Coronary Syndrome Angioplasty Balloon Coronary Thrombus Ultrasonography Interventional Aged medicine.diagnostic_test Heparin business.industry Coronary Thrombosis Coronary artery ectasia Interventional radiology General Medicine Thrombolysis medicine.disease Combined Modality Therapy Treatment Outcome Tissue Plasminogen Activator cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Dilatation Pathologic Follow-Up Studies |
| Zdroj: | Cardiovascular Intervention and Therapeutics. 27:57-61 |
| ISSN: | 1868-4297 1868-4300 |
| DOI: | 10.1007/s12928-011-0083-y |
| Popis: | Coronary artery ectasia (CAE), which is reported in 0.3-5.3% of coronary angiograms, is known as a risk factor of acute coronary syndrome (ACS). Optimal treatment of CAE in ACS has not yet been established because of few clinical reports and no randomized trial. We describe a 78-year-old woman in whom thrombolysis with recombinant tissue-plasminogen activator, heparin and dual antiplatelet therapy were performed, and an angiogram after 3 days revealed the disappearance of massive thrombus in the CAE of the left circumflex coronary artery. Staged percutaneous coronary intervention and multidisciplinary procedure are feasible to treat ACS with massive thrombus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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