How long can a coronary reperfusion catheter be placed in acute coronary occlusion following failed transluminal coronary angioplasty? A case report.

Abstract:

:A coronary reperfusion catheter (CRC) is designed to preserve antegrade coronary flow when abrupt coronary closure occurs during percutaneous transluminal coronary angioplasty (PTCA). Insertion of the catheter to an occluded coronary artery for a few hours has been reported to be effective for myocardial salvage: however, it is unknown how long the catheter can be kept in place without causing extension of myocardial ischemia. The authors experienced a case in which the CRC was kept in place for twenty-four hours for anticoagulant therapy of an occluded coronary artery following failure of PTCA. This case suggests that adequate anticoagulant therapy can prolong the period during which a CRC can be kept in place if emergency coronary bypass surgery cannot be performed immediately after failure of coronary angioplasty.

journal_name

Angiology

journal_title

Angiology

authors

Miyamoto A,Mizuno K,Hakamada N,Seguchi H,Satomura K,Isojima K,Kurita A,Nakamura H

doi

10.1177/000331979104200112

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

65-8

issue

1

eissn

0003-3197

issn

1940-1574

journal_volume

42

pub_type

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