적혈구 증가증에서 거대 심혈관 혈전의 심혈관내 혈전 용해 및 혈관 성형술
Intracoronary Thrombolysis and Delayed Percutaneous Coronary Intervention for the Treatment of Large Coronary Thrombi in a Patient with Polycythemia Vera
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is well established; however, the optimal management strategy for patients with a large thrombus burden after repeated thrombectomy(i.e., “failed” thrombectomy) is unknown. Here, we report the case of a 67-year-old male with polycythemia vera who wastreated with intracoronary thrombolytic therapy in combination with mechanical thrombectomy. Repeated aspiration thrombectomydid little to reduce the coronary thrombus burden; thus, intracoronary urokinase infusions were applied to the thrombus-containinglesion. Repeat coronary angiography 4 days later revealed markedly improved antegrade flow in the infarct-related artery,and successful revascularization was performed. This case demonstrates the potential utility of intracoronary thrombolytic therapyfor select AMI patients with a large thrombus burden who are in a hypercoagulable state.
Abstract
is well established; however, the optimal management strategy for patients with a large thrombus burden after repeated thrombectomy(i.e., “failed” thrombectomy) is unknown. Here, we report the case of a 67-year-old male with polycythemia vera who wastreated with intracoronary thrombolytic therapy in combination with mechanical thrombectomy. Repeated aspiration thrombectomydid little to reduce the coronary thrombus burden; thus, intracoronary urokinase infusions were applied to the thrombus-containinglesion. Repeat coronary angiography 4 days later revealed markedly improved antegrade flow in the infarct-related artery,and successful revascularization was performed. This case demonstrates the potential utility of intracoronary thrombolytic therapyfor select AMI patients with a large thrombus burden who are in a hypercoagulable state.
참고문헌 (9)
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