首页> 外文期刊>EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology >How should I treat a 'swinging' left main thrombosis complicating coronary angioplasty in an obese, diabetic, elderly woman treated with fondaparinux?
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How should I treat a 'swinging' left main thrombosis complicating coronary angioplasty in an obese, diabetic, elderly woman treated with fondaparinux?

机译:在使用磺达肝癸钠治疗的肥胖,糖尿病,老年妇女中,我应该如何治疗“摇摆的”左主血栓形成并发冠状动脉成形术?

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摘要

BACKGROUND: A 72-year-old woman with non-ST elevation acute coronary syndrome, treated with fondaparinux. INVESTIGATION: The patient was treated after recurrent angina with coronary angioplasty and stenting of the left anterior descending artery (LAD). The procedure was complicated by "swinging" left main (LM) thrombosis. DIAGNOSIS: Catheter-related LM thrombosis after fondaparinux administration. TREATMENT: Urgent LM angioplasty with culotte stenting of LM, LAD, and left circumflex coronary artery (LCx), and thrombus aspiration.
机译:背景:一名患有非ST段抬高的急性冠状动脉综合征的72岁妇女接受磺达肝癸钠治疗。调查:该患者在复发性心绞痛后进行了冠状动脉成形术,并植入了左前降支(LAD)。该过程由于“摇摆”左主血栓(LM)而变得复杂。诊断:磺达肝癸钠给药后与导管相关的LM血栓形成。治疗:LM,LAD,左旋支冠状动脉(LCx)穿刺支架置入术并进行血栓抽吸术,进行紧急LM血管成形术。

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