[Selective thrombolytic patency of the coronary arteries in patients with acute myocardial infarction].
Urgent selective coronarography followed by intracoronary infusion of nitroglycerin and streptokinase (2000-4000 U/min) was performed in 24 patients with acute myocardial infarction. Mechanical recanalization of an occluded coronary artery was also performed in two patients. The coronary artery supplying the infarcted area was occluded in 22 patients while 2 patients had third-degree stenosis. Following intracoronary drug infusion, antegrade flow was recovered completely in 16 of 22 occluded coronary arteries (72.7%). All patients, however, retained acute coronary arterial stenosis around former occlusions. Aortal-coronary shunting was performed within 1 to 20 days in 6 patients.
D000328:Adult; D003331:Coronary Vessels / Q000187:drug effects*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D005996:Nitroglycerin / Q000008:administration & dosage; D013300:Streptokinase / Q000008:administration & dosage*
D013300:Streptokinase; D005996:Nitroglycerin
Selektivnaia tromboliticheskaia rekanalizatsiia venechnykh arteriĭ u bol'nykh astrym infarktom miokarda.