Recanalisation mecanique et dilatation des arteres coronaires au stade aigu de l'infarctus du myocarde. [Mechanical recanalization and dilatation of coronary arteries in the acute stage of myocardial infarction]

Détails

ID Serval
serval:BIB_5E9BD11E9DD3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Recanalisation mecanique et dilatation des arteres coronaires au stade aigu de l'infarctus du myocarde. [Mechanical recanalization and dilatation of coronary arteries in the acute stage of myocardial infarction]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Grbic  M., Sigwart  U., Goy  J. J., Maendly  R., Essinger  A., Perret  C., Nicod  P., Sadeghi  H.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
11/1985
Volume
115
Numéro
45
Pages
1583-6
Notes
English Abstract
Journal Article --- Old month value: Nov 9
Résumé
The time between coronary artery occlusion and reperfusion remains the decisive factor for myocardial function in acute myocardial infarction. Of 110 patients admitted to hospital less than 3 hours after the onset of chest pain, 83 underwent intracoronary thrombolysis with streptokinase or urokinase. 27 patients underwent mechanical recanalization with the aid of a steerable guide wire (Schneider 0.014") followed by transluminal angioplasty of the residual stenosis. 70 of 83 patients (84%) were recanalized by intracoronary streptokinase perfusion within 45 +/- 10 minutes. By mechanical recanalization the occluded artery could be recanalized in 27 patients within 6 +/- 1 minutes. During the same session transluminal angioplasty was performed while the affected coronary artery was perfused for 20 minutes with 20,000-50,000 U streptokinase. 2 patients died after intracoronary thrombolysis (2.4%) and 1 patient died after mechanical recanalization (3.7%). 25 of 26 survivors of the mechanical recanalization group were discharged after bicycle stress testing, and 1 patient underwent a coronary bypass operation. In the intracoronary thrombolysis group, 4 patients presented with reobstruction of the affected vessel within 24 hours of the intervention (4.8%). Of the remaining 66 patients. 20 underwent transluminal coronary angioplasty (285), 16 coronary bypass (22%) and 30 received drug therapy (43%). Left ventricular injection fraction, measured 24 hours after treatment, was 63 +/- 10% in the mechanical recanalization group and 53 +/- 9% in the intracoronary thrombolysis group.
Mots-clé
Adult Aged Angioplasty, Balloon/*methods Female Humans Male Middle Aged Myocardial Infarction/drug therapy/*therapy Streptokinase/therapeutic use Time Factors Urinary Plasminogen Activator/therapeutic use
Pubmed
Web of science
Création de la notice
25/01/2008 15:00
Dernière modification de la notice
20/08/2019 15:16
Données d'usage