Rescue coronary angiography after failed thrombolysis: A real-life experience

L. Gruberg; E. Di Segni; O. Agranat; Y. Har Zahav; D. Freimark; E. Kaplinsky; H. Hod

doi:10.1159/000006816

Rescue coronary angiography after failed thrombolysis: A real-life experience

L. Gruberg^*, E. Di Segni, O. Agranat, Y. Har Zahav, D. Freimark, E. Kaplinsky, H. Hod

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Failed thrombolysis in acute myocardial infarction (AMI) patients is associated with a high risk of morbidity and mortality. Rescue or salvage percutaneous transluminal coronary angioplasty (PTCA) in this group of patients is still controversial. We report our experience with early emergency angiography and rescue PTCA in 27 patients who were hemodynamically unstable or had a large area of myocardium at risk after failed thrombolysis. Rescue PTCA was successful in 95% of attempted PTCA. Three patients were referred to emergency CABG. Early 'rescue angiography' with or without rescue PTCA after failed thrombolysis in a selected patient population, is an important tool for early risk stratification and decision-making during the hyperacute phase of AMI, while it may also serve in restoring coronary artery patency of the infarct-related artery with a high success rate.

Original language	English
Pages (from-to)	48-51
Number of pages	4
Journal	Cardiology
Volume	90
Issue number	1
DOIs	https://doi.org/10.1159/000006816
State	Published - Jul 1998

Keywords

Acute myocardial infarction
Percutaneous transluminal coronary angioplasty
Thrombolysis

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abstract = "Failed thrombolysis in acute myocardial infarction (AMI) patients is associated with a high risk of morbidity and mortality. Rescue or salvage percutaneous transluminal coronary angioplasty (PTCA) in this group of patients is still controversial. We report our experience with early emergency angiography and rescue PTCA in 27 patients who were hemodynamically unstable or had a large area of myocardium at risk after failed thrombolysis. Rescue PTCA was successful in 95% of attempted PTCA. Three patients were referred to emergency CABG. Early 'rescue angiography' with or without rescue PTCA after failed thrombolysis in a selected patient population, is an important tool for early risk stratification and decision-making during the hyperacute phase of AMI, while it may also serve in restoring coronary artery patency of the infarct-related artery with a high success rate.",

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AU - Gruberg, L.

AU - Di Segni, E.

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AU - Har Zahav, Y.

AU - Freimark, D.

AU - Kaplinsky, E.

AU - Hod, H.

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AB - Failed thrombolysis in acute myocardial infarction (AMI) patients is associated with a high risk of morbidity and mortality. Rescue or salvage percutaneous transluminal coronary angioplasty (PTCA) in this group of patients is still controversial. We report our experience with early emergency angiography and rescue PTCA in 27 patients who were hemodynamically unstable or had a large area of myocardium at risk after failed thrombolysis. Rescue PTCA was successful in 95% of attempted PTCA. Three patients were referred to emergency CABG. Early 'rescue angiography' with or without rescue PTCA after failed thrombolysis in a selected patient population, is an important tool for early risk stratification and decision-making during the hyperacute phase of AMI, while it may also serve in restoring coronary artery patency of the infarct-related artery with a high success rate.

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Rescue coronary angiography after failed thrombolysis: A real-life experience

Abstract

Keywords

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