Acute coronary embolism:: Angiographic diagnosis and treatment with primary angioplasty
Acute coronary embolism:: Angiographic diagnosis and treatment with primary angioplasty
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DOI：
10.1002/ccd.10122
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发表时间：
2002-04-01
影响因子：
2.3
通讯作者：
Tascón, JC
中科院分区：
文献类型：
--
作者：
Hernández, F;Pombo, M;Tascón, JC
急性冠状动脉栓塞很少被诊断出来，这可以解释为什么在有血栓栓塞危险因素的患者中，在急性冠状动脉事件之后甚至之前发现正常的冠状动脉。对3例冠状动脉正常和急性心肌梗死的患者进行了急诊冠状动脉造影，随后进行了低压球囊扩张加支架植入术的直接血管成形术，并联合使用阿司匹林、氯吡格雷和阿昔单抗进行抗聚集，以破坏血栓并保护远端循环免受微栓子的影响。血管造影成功率为100%，口服抗凝和抗聚集药物6个月随访无异常。(C)2002 Wiley-Liss，Inc.
Acute coronary embolism is rarely diagnosed and it may explain why normal coronary arteries are found after or even before an acute coronary event in patients with thromboembolic risk factors. Emergency coronary angiography was performed in three patients with prior normal coronary arteries and an acute myocardial infarction, followed by primary angioplasty with low-pressure balloon inflations plus stenting and combined antiaggregation with aspirin, clopidogrel, and abciximab to disrupt the thrombi and protect distal circulation from microemboli. Angiographic success was achieved in 100%, and 6-month follow-up has been uneventful on oral anticoagulation and antiaggregation. (C) 2002 Wiley-Liss, Inc.