[Angioplasty after failure of thrombolysis in myocardial infarction. Hospital results apropos of 40 consecutive patients].
Intravenous thrombolysis during the acute phase of myocardial infarction is successful in restoring perfusion in 60 to 80% of cases. When it is unsuccessful, there is disagreement about the best approach to adopt. The article reports the results obtained in 40 consecutive patients treated by angioplasty after thrombolysis had been unsuccessful. Reperfusion was achieved in 92.5% of cases, with a hospital mortality rate of 7.5% (2.5% if patients admitted in a stage of cardiogenic shock are excluded). There was no mortality related to the procedure itself and an emergency aorto-coronary by-pass was not required in any case. Since it is accepted that the subsequent prognosis depends on coronary patency, coronary artery assessment after thrombolysis, followed by angioplasty if the occlusion persists seems to be a logical strategy if the myocardial territory is compromised.
Rioux
P
P
Service de Cardiologie, Hôpital Trousseau, Tours.
Dreyfus
X
X
Desveaux
B
B
Quilliet
L
L
Pacouret
G
G
Maillard
L
L
Charbonnier
B
B
Raynaud
P
P
Brochier
M
M
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D011379:Prognosis; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D013997:Time Factors
Angioplastie après échec de thrombolyse dans l'infarctus du myocarde. Résultats hospitaliers à propos de 40 patients consécutifs.