Acute coronary embolism:: Angiographic diagnosis and treatment with primary angioplasty

被引：38

作者：

Hernández, F ^{[1
]}

Pombo, M ^{[1
]}

Dalmau, R ^{[1
]}

Andreu, J ^{[1
]}

Alonso, M ^{[1
]}

Albarrán, A ^{[1
]}

Velázquez, MT ^{[1
]}

Tascón, JC ^{[1
]}

机构：

[1] Hosp Univ 12 Octubre, Dept Cardiol, Madrid 28041, Spain

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2002年 / 55卷 / 04期

关键词：

myocardial infarction; coronary emboli; nonatherosclerotic coronary disease; abciximab;

D O I：

10.1002/ccd.10122

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：491 / 494

页数：4

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