Intracoronary stenting in acute myocardial infarction
| Autor: | Chi M. Wong, Philip H. C. Wong |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Coronary Disease Dissection (medical) Refractory Angioplasty Internal medicine medicine Humans Thrombolytic Therapy cardiovascular diseases Myocardial infarction Angioplasty Balloon Coronary Thrombus medicine.diagnostic_test business.industry Thrombosis Middle Aged equipment and supplies medicine.disease Coronary Vessels Surgery medicine.anatomical_structure Angiography cardiovascular system Cardiology Female Stents Premedication Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Catheterization and Cardiovascular Diagnosis. 33:39-45 |
| ISSN: | 1097-0304 0098-6569 |
| DOI: | 10.1002/ccd.1810330111 |
| Popis: | Stent implantation into an infarct-related artery during acute myocardial infarction is generally contraindicated because of the risk of stent thrombosis. We report on 3 patients who had successful stenting for an acute occlusive dissection that developed during direct infarct coronary angioplasty and was refractory to conventional prolonged balloon dilatation, with good long-term clinical and angiographic results. The prerequisites for success include proper premedication, presence of only a minimal amount of thrombus in the infarct-related artery, liberal use of intracoronary thrombolytic therapy, as perfect an angiographic result as possible, as well as careful and aggressive post-stenting anticoagulation. © Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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