Key result
Staged intravenous thrombolysis and deferred angioplasty was successful in three patients with intracoronary thrombus and unstable or postinfarction angina.
Why the study?
Does staged thrombolysis and deferred angioplasty improve procedural success in patients with intracoronary thrombus and unstable or postinfarction angina?
Case Report (n=3)
Does staged thrombolysis and deferred angioplasty improve procedural success in patients with intracoronary thrombus and unstable or postinfarction angina?
Staged thrombolysis and deferred angioplasty is feasible for selected patients with intracoronary thrombus and unstable or postinfarction angina.
The precise timing of intravenous thrombolysis and coronary angioplasty continues to be evaluated for patients who have coronary thrombosis and unstable angina or postinfarction angina. Coronary angioplasty is effective for these patients but is associated with thromboembolic coronary occlusion in 24% to 29% of cases. After adjunctive intravenous thrombolysis and oral antiplatelet therapy to improve the success rate and to decrease the risk of acute occlusion, deferred angioplasty was successful in three patients with intracoronary thrombus and unstable angina or postinfarction angina. Staged thrombolysis and deferred angioplasty is feasible for selected patients with these acute coronary syndromes.
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Hurley et al. (1989) conducted a case report in Unstable angina or postinfarction angina (n=3). Staged thrombolysis and deferred angioplasty was evaluated on Procedural success. Staged intravenous thrombolysis and deferred angioplasty was successful in three patients with intracoronary thrombus and unstable or postinfarction angina.
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