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Titolo:
A case of successful primary coronary intervention for the total occlusionof left main stem with the aid of Abciximab
Autore:
Jeong, MH; Ahn, YK; Park, JC; Ahn, BH; Na, KJ; Kim, NH; Kim, KH; Cho, JG; Park, JC; Kim, SH; Kang, JC;
Indirizzi:
Chonnam Natl Univ Hosp, Ctr Heart, Catheterizat Lab, Dong Ku, Kwangju 501757, South Korea Chonnam Natl Univ Hosp Kwangju South Korea 501757 ju 501757, South Korea
Titolo Testata:
JOURNAL OF KOREAN MEDICAL SCIENCE
fascicolo: 4, volume: 16, anno: 2001,
pagine: 509 - 511
SICI:
1011-8934(200108)16:4<509:ACOSPC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK; ARTERY; SURVIVAL; ANGIOPLASTY; PTCA;
Keywords:
coronary intervention; coronary artery; myocardial infarction; thrombosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Jeong, MH Chonnam Natl Univ Hosp, Ctr Heart, Catheterizat Lab, Dong Ku, 8 Hak Dong, Kwangju 501757, South Korea Chonnam Natl Univ Hosp 8 Hak Dong Kwangju South Korea 501757 ea
Citazione:
M.H. Jeong et al., "A case of successful primary coronary intervention for the total occlusionof left main stem with the aid of Abciximab", J KOR MED S, 16(4), 2001, pp. 509-511

Abstract

A 61-yr-old male patient presented with severe chest pain with cardiogenicshock due to an extensive anterolateral myocardial infarction. Two-dimensional echocardiogram showed severe left ventricular systolic dysfunction (ejection fraction=17%). Emergent coronary angiogram obtained immediately after placing temporary pacing electrode revealed total thrombotic occlusion inthe left main stem. We performed direct coronary intervention using kissing balloon technique with the aid of Abciximab (ReoPro (R)) infusion. Residual stenosis with thrombus remained even after high pressure balloon dilatations, therefore we placed two stents, one in the ostia of left anterior descending (LAD) and the other in left circumflex artery (LCX). Coronary angiogram after kissing stents showed improved LAD and LCX flows without residual stenosis. Chest pain resolved and blood pressure normalized after coronary intervention. The whole procedure time was 15 min. Follow-up coronary angiogram taken one week later showed patent previous stented arteries, and echocardiography demonstrated 40% of left ventricular ejection fraction. The clinical course for one-year follow-up was uneventful.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:28:24