Pulse-Spray Thrombolysis in Acute Myocardial Infarction Caused by Thrombotic Occlusion of an Ectatic Coronary Artery
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概要
- 論文の詳細を見る
Pulse-spray thrombolysis was performed in 2 patients with acute myocardial infarction (AMI) caused by thrombotic occlusion of coronary artery ectasia. Case 1,a 66-year-old woman with an inferior AMI underwent emergency coronary arteriography, which revealed occlusion of an ectatic right coronary artery. Primary balloon angioplasty failed to reestablish distal flow. Urokinase was administered through the pulse-spray infusion catheter (UltraFuse^<TM>) and intravenous recombinant tissue plasminogen activator was also administered. Angiographic disappearance of the thrombus was observed within 3Omin of starting the infusion, and there was only mild irregularity in the ectatic coronary artery. Case 2,a 45-year-old man with an inferior AMI underwent emergency coronary arteriography, which revealed occlusion of an ectatic right coronary artery. TIMI-3 flow was soon obtained after administration of 480,000 units of urokinase through the pulse-spray infusion-catheter. There was diffuse right coronary ectasia without angiographic evidence of coronary stenosis. Coronary ectasia sometimes develops into AMI without the coexistence of coronary stenosis. Because a massive thrombus plays a major role, pulse-spray thrombolysis is a possible treatment in coronary artery ectasia with thrombotic occlusion.
- 社団法人日本循環器学会の論文
- 2002-01-20
著者
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TANABE Yasuhiko
Department of Cardiology, Niigata Prefectural Shibata Hospital
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Tanabe Yasuhiko
Department Of Internal Medicine Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Departments of Electrical Engineering, College of Science and Technology, Nihon University
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Nakagawa Iwao
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Tanabe Yasuhiko
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Itoh Eiichi
Department of Cardiology, Niigata Prefectural Shibata Hospital
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Itoh Eiichi
Department Of Cardiology Niigata City General Hospital
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Itoh Eiichi
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Department Of Basic Human Sciences School Of Human Sciences Waseda University
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Suzuki Kaoru
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Department Of Applied Chemistry Faculty Of Science Science University Of Tokyo
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