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Can I read Pulse-spray Thrombolysis in Acutely Obstructed Coronary Artery in Critical Situations on EtoBox?
Pulse-spray Thrombolysis in Acutely Obstructed Coronary Artery in Critical Situations by Taro Saito; Izumi Taniguchi; Shouta Nakamura; Hideki Oka; Yuji Mizuno; Katsuo Noda; Seishi Yamashita; Shuichi Oshima is a Medicine article available to read on EtoBox.
What is Pulse-spray Thrombolysis in Acutely Obstructed Coronary Artery in Critical Situations about?
Pulse-spray thrombolysis (PST) was performed to treat large coronary thrombus in 3 patients in critical situations. The originally developed pump system and a custom infusion catheter (SciMed/Boston Scientific, Maple Grove, MN) were used in combination. Case 1, a 48-yr-old male with extensive anterior myocardial infarction, failed to be recanalized by systemic thrombolysis. He underwent emergent coronary angiography, which revealed proximal occlusion of a large left anterior descending artery (LAD). TIMI 3 flow was achieved after 20 min with 200,000 units of urokinese by PST, followed by balloon angioplasty. In case 2, a 57-yr-old male, subacute stent thrombosis occurred 4 days after two and a half Palmatz-Schatz stents were implanted in mid-LAD. TIMI 3 flow was recovered at 20 min with 240,000 units of urokinese and an additional 72,000 units of rt-PA, followed by redilatation with a quarter-size larger balloon than that used in stent deployment. In case 3, a 70-yr-old male, during ultrasound study for unstable angina, a massive thrombotic complication occurred which occluded the left main trunk. PST was immediately performed under cardiac resuscitation, and the patient recovered
Who reads Pulse-spray Thrombolysis in Acutely Obstructed Coronary Artery in Critical Situations?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Taro Saito; Izumi Taniguchi; Shouta Nakamura; Hideki Oka; Yuji Mizuno; Katsuo Noda; Seishi Yamashita; Shuichi Oshima
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0098-6569)
- Published
- 1997
- Language
- EN
- Field
- Medicine (Health Sciences)