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- W4509322 abstract "Since its introduction by Grüntzig in 1977, percutaneous transluminal coronary angioplasty (PTCA) has been applied to patients with symptomatic coronary artery disease. Although the technique was initially practiced in patients with stable angina, experience has shown that it may be applied in patients with unstable angina and acute myocardial infarction, with and without prior fibrinolytic therapy, as well. During acute myocardial infarction, intracoronary infusion of streptokinase can open 70%–90% of acutely obstructed coronary arteries. However, in most patients, residual high-grade atheromatous lesions remain at the site of occlusion, with a potential for continued myocardial ischemia, unstable angina, coronary reocclusion, and reinfarction. Consequently, mechanical interventions such as CABG or PTCA may be required after thrombolytic therapy. On the other hand, PTCA can be used as definitive therapy for coronary artery recanalization in acute evolving myocardial infarction, if complications arising from thrombolytic therapy would exclude the patient from an acute recanalization procedure. We describe our clinical experience with PTCA after intravenous streptokinase (SK) and as primary therapy in the management of patients with acute myocardial infarction.KeywordsAcute Myocardial InfarctionThrombolytic TherapyResidual StenosisFibrinolytic TherapyIntracoronary InfusionThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves." @default.
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- W4509322 date "1986-01-01" @default.
- W4509322 modified "2023-09-27" @default.
- W4509322 title "Percutaneous Transluminal Coronary Angioplasty in Acute Myocardial Infarction With and Without Prior Systemic Fibrinolytic Therapy" @default.
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- W4509322 doi "https://doi.org/10.1007/978-3-642-72407-7_15" @default.
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