Reocclusion of the infarcted vessel during acute interventions in myocardial infarction.
Acute reocclusion of the recanalized infarcted vessel was observed during thrombolytic therapy in 28 or 138 patients, and during angioplasty following thrombolysis in 5 of 70 patients. The occluded vessel reopened again in 20 of 28 patients by additional administration in nitroglycerin and urokinase and in 3 of 5 patients by repeated angioplasty. There was no significant difference in success rate of thrombolysis or angioplasty between patients with acute reocclusion and those without. However, reinfarction after acute intervention tended to be more common in the former patients than the latters.
Hattori
R
R
Department of Internal Medicine, Kyoto University Hospital, Japan.
Yui
Y
Y
Takatsu
Y
Y
Sakaguchi
K
K
Susawa
T
T
Yui
N
N
Takahashi
M
M
Aoyama
T
T
Murakami
T
T
Tamaki
S
S
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D000800:Angioplasty, Balloon; D003327:Coronary Disease / Q000188:drug therapy*; D003328:Coronary Thrombosis / Q000188:drug therapy*; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy*; D012008:Recurrence; D013318:Stroke Volume
D005343:Fibrinolytic Agents