Intracoronary Thrombolysis and Delayed Percutaneous Coronary Intervention for the Treatment of Large Coronary Thrombi in a Patient with Polycythemia Vera / 대한내과학회지
Korean Journal of Medicine
;
: 728-732, 2014.
Article
in English
| WPRIM
| ID: wpr-219254
ABSTRACT
The benefit of thrombus aspiration during percutaneous coronary intervention in patients with acute myocardial infarction (AMI) is well established; however, the optimal management strategy for patients with a large thrombus burden after repeated thrombectomy (i.e., "failed" thrombectomy) is unknown. Here, we report the case of a 67-year-old male with polycythemia vera who was treated with intracoronary thrombolytic therapy in combination with mechanical thrombectomy. Repeated aspiration thrombectomy did little to reduce the coronary thrombus burden; thus, intracoronary urokinase infusions were applied to the thrombus-containing lesion. Repeat coronary angiography 4 days later revealed markedly improved antegrade flow in the infarct-related artery, and successful revascularization was performed. This case demonstrates the potential utility of intracoronary thrombolytic therapy for select AMI patients with a large thrombus burden who are in a hypercoagulable state.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polycythemia Vera
/
Arteries
/
Thrombosis
/
Urokinase-Type Plasminogen Activator
/
Thrombolytic Therapy
/
Coronary Angiography
/
Thrombectomy
/
Percutaneous Coronary Intervention
/
Myocardial Infarction
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Medicine
Year:
2014
Type:
Article
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