Document Detail


Lysis of intravascular thrombus prior to coronary stenting using the dispatch infusion catheter.
MedLine Citation:
PMID:  8853154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The presence of angiographic evidence of thrombus is generally thought to be a contraindication to coronary stent placement. This report describes four patients in whom angiographic thrombus was lysed using the Dispatch infusion catheter prior to coronary stenting. Urokinase was infused via the Dispatch catheter with resolution of angiographic evidence of thrombus in all cases. No complications were encountered using this technique, and all patients had excellent angiographic results after stenting. We conclude that lysis of intracoronary thrombus using the Dispatch infusion catheter is feasible and appears safe in this small study. Further trials are needed to determine if this technique reduces the acute stent thrombosis rate compared to other techniques for stent deployment in the presence of angiographic evidence of thrombus.
Authors:
R A Kerensky; E A Franco; B D Bertolet; G Thomas; T J Wargovich
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  38     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-12-17     Completed Date:  1996-12-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  410-4     Citation Subset:  IM    
Affiliation:
Section of Cardiology, University of Florida, Shands Hospital, Gainesville 32610-0277, USA.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Coronary Thrombosis / radiography,  therapy*
Heparin / administration & dosage
Humans
Infusions, Intra-Arterial
Male
Middle Aged
Pilot Projects
Premedication
Stents*
Urokinase-Type Plasminogen Activator / administration & dosage*
Chemical
Reg. No./Substance:
9005-49-6/Heparin; EC 3.4.21.73/Urokinase-Type Plasminogen Activator
Comments/Corrections
Comment In:
Cathet Cardiovasc Diagn. 1996 Aug;38(4):415-6   [PMID:  8853155 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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