Treatment of acute myocardial infarction with prolonged intracoronary urokinase delivery through intracoronary infusion catheter.
Severe acute myocardial infarction in young patients is plagued by high mortality.  We report the case of a 25-year-old man, with a family history of ischemic heart disease, who was treated with acute and prolonged intracoronary urokinase infused through a miniaturized catheter engaged in a large thrombus occluding the left anterior descending artery.  Rapid and stable recanalization was achieved with complete lysis of thrombotic material.
Barbieri
E
E
Division of Cardiology, University of Verona, Italy.
Anselmi
M
M
Zardini
P
P
D000328:Adult; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000379:methods; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*