title: Concomitant use of glycoprotein IIb/IIIa inhibitor and streptokinase after unsuccessful rescue angioplasty.
abstract: A 38-year-old man with acute myocardial infarction in the lower wall affecting the right ventricle underwent thrombolytic treatment with streptokinase. Approximately 2 hours after the thrombolytic treatment started, he presented with signs of coronary reocclusion. He underwent emergency cineangiocoronariography that revealed that his right coronary artery was completely occluded by a clot. He unsuccessfully underwent angioplasty and stent implantation. After the concomitant use of glycoprotein IIb/IIIa inhibitor, coronary TIMI III flow was achieved without additional dilations, and he was discharged from the hospital 5 days later with no further complications.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
authors.forename: José Marconi Almeida de
authors.initials: JM
authors.lastname: Sousa
authors.forename: Leonardo
authors.initials: L
authors.lastname: Severino
authors.forename: Ederlon de Carvalho
authors.initials: Ede C
authors.lastname: Rezende
authors.forename: Jairon Nascimento
authors.initials: JN
authors.lastname: Alencar
authors.forename: Valter Correia de
authors.initials: VC
authors.lastname: Lima
authors.forename: João Lourenço V
authors.initials: JL
authors.lastname: Hermann
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods; D004359:Drug Therapy, Combination; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors* / Q000627:therapeutic use; D013300:Streptokinase / Q000627:therapeutic use*
chemical_list: D005343:Fibrinolytic Agents; D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D013300:Streptokinase