title: Stenting with intravenous abciximab infusion for the treatment of left main coronary artery thrombosis during coronary angioplasty.
abstract: A 67-year-old female patient complained of exertional precordial chest pain with radiation to the left shoulder occurring over a two-month period. An acute non-Q wave anterior myocardial infarction was diagnosed. On the third day of admission, coronary angiography revealed two-vessel disease with 73% luminal narrowing of the proximal left anterior descending coronary artery and 50% luminal narrowing of the mid-right coronary artery. The initial attempt to implant a NIR stent (Boston Scientific/Scimed, Inc., Maple Grove, Minnesota) was unsuccessful. We report on the successful rescue implantation of two MAC (Maximum Arterial re-Creation) stents (Advanced Medical Technologies, Germany), in conjunction with the infusion of abciximab for the treatment of an abrupt closure due to thrombus of the left main coronary artery.
authors.affiliation: Division of Cardiology, Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: D
authors.initials: D
authors.lastname: Choi
authors.forename: Y
authors.initials: Y
authors.lastname: Jang
authors.forename: B K
authors.initials: BK
authors.lastname: Lee
authors.forename: S H
authors.initials: SH
authors.lastname: Choi
authors.forename: K H
authors.initials: KH
authors.lastname: Byun
authors.forename: W H
authors.initials: WH
authors.lastname: Shim
authors.forename: S Y
authors.initials: SY
authors.lastname: Cho
mesh_terms: D000077284:Abciximab; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000627:therapeutic use*; D007262:Infusions, Intravenous; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000627:therapeutic use*; D015607:Stents
chemical_list: D000911:Antibodies, Monoclonal; D007140:Immunoglobulin Fab Fragments; D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D000077284:Abciximab