Document Detail

Percutaneous transluminal coronary angioplasty and stent placement in pregnancy.
MedLine Citation:
PMID:  16260555     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Myocardial infarction (MI) is uncommon during pregnancy. As the average maternal age increases and assisted reproductive technology allows for very advanced maternal ages, so too may the incidence of MI during pregnancy. Percutaneous transluminal coronary angioplasty (PTCA) with stent placement is an attractive option for treatment of MI in pregnancy when revascularization is required. CASE: We present a gravida with an ST elevation MI during the third trimester, who was treated with emergent PTCA, stent placement, and platelet inhibitors, and we discuss the patient's subsequent obstetric and anesthetic management. CONCLUSION: Percutaneous transluminal coronary angioplasty with stent placement may be used during the third trimester with successful outcome.
Bonnie K Dwyer; Larisa Taylor; Andrea Fuller; Catherine Brummel; Deirdre J Lyell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  106     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-01     Completed Date:  2006-02-03     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1162-4     Citation Subset:  AIM; IM    
Department of Obstetrics, Stanford University, Stanford, California 94305, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Combined Modality Therapy
Maternal Age
Myocardial Infarction / complications,  therapy*
Platelet Aggregation Inhibitors / therapeutic use
Pregnancy Complications, Cardiovascular / therapy*
Pregnancy Outcome
Pregnancy Trimester, Third
Reg. No./Substance:
0/Platelet Aggregation Inhibitors

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