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
em En
| WPRIM
| ID: wpr-219254
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Policitemia Vera
/
Artérias
/
Trombose
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Ativador de Plasminogênio Tipo Uroquinase
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Terapia Trombolítica
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Angiografia Coronária
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Trombectomia
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Intervenção Coronária Percutânea
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Infarto do Miocárdio
Limite:
Aged
/
Humans
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Male
Idioma:
En
Revista:
Korean Journal of Medicine
Ano de publicação:
2014
Tipo de documento:
Article