Staged thrombolysis and percutaneous transluminal coronary angioplasty for unstable and postinfarction angina

Dominic V. Hurley, Dennis R. Bresnahan, David R. Holmes

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalCatheterization and cardiovascular diagnosis
Volume18
Issue number2
DOIs
StatePublished - Oct 1989

Keywords

  • acute coronary syndromes
  • antiplatelet therapy
  • occlusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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