"Rescue administration" of intracoronary thrombolytic therapy for drug-eluting stent thrombosis.
Stent thrombosis is an example of device-induced, platelet-mediated arterial thrombosis with a potentially fatal adverse event that often leads to myocardial infarction and/or death. The optimal treatment of patients with drug-eluting stent thrombosis in whom mechanical thrombectomy has failed is not established. This case demonstrates the usefulness of intracoronary thrombolysis after failed mechanical thrombectomy in patients with stent thrombosis. To our knowledge, this is the first report on using intracoronary thrombolysis in this specific situation.
Department of Cardiology, Kartal Kosuyolu Yuksek Ihtisas Heart Education and Research Hospital, Kartal, Istanbul, Turkey.
C Y
CY
Karabay
G
G
Kocabay
A
A
Kalayci
O
O
Tasar
C
C
Kirma
D000328:Adult; D003131:Combined Modality Therapy; D003331:Coronary Vessels / Q000187:drug effects; D054855:Drug-Eluting Stents; D004452:Echocardiography; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D019233:Retreatment; D013396:Suction; D017131:Thrombectomy; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D017211:Treatment Failure
D010959:Tissue Plasminogen Activator