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- Title
Recanalization of Coronary Artery Occlusion in Patients with Acute Myocardial Infarction by Use of Brushing Wire -- Case Reports.
- Authors
Hachida, Mitsuhiro; Hirai, Masaya; Ihashi, Kenji; Koyanagi, Hitoshi; Chong Young Shi
- Abstract
A new coronary intervention using a brushing wire was performed in 11 patients at emergency. All patients were found to have a total obstruction in a coronary artery or a coronary bypass graft. In all patients, thrombolytic therapy had been performed, without achieving coronary recanalization. Infarct-related arteries on which this technique was used were the left descending artery in 8 patients, right coronary artery in 2 patients, and a bypass graft in 1 patient. The mean ischemic time was 4.18±2.59 hours. Coronary recanalization was obtained in all patients (100%). The residual diameter stenosis was less than 50% in 3 patients, between 50% and 95% in 5 patients, and more than 95% in 3 patients. Preserved left ventricular ejection function was 57.0±12.8%. Ventricular fibrillation occurred in 2 cases owing to thrombolytic therapy. Additional intervention was performed with percutaneous transluminal angioplasty in 3 patients and with coronary artery bypass grafting in 7 patients. One patient underwent CABG following PTCA. Additional intervention was not required in 2 patients.
- Subjects
CORONARY arteries; ARTERIAL occlusions; PATIENTS; CORONARY artery bypass; THROMBOLYTIC therapy; CORONARY artery stenosis; VENTRICULAR fibrillation; TRANSLUMINAL angioplasty
- Publication
Vascular Surgery, 1993, Vol 27, Issue 1, p33
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857449302700106