O. Kjellgren et al., PROLONGED INTRACORONARY INFUSION OF STREPTOKINASE - AN ALTERNATIVE PHARMACOLOGICAL APPROACH TO EXTENSIVE THROMBUS IN NATIVE CORONARY-ARTERY, Catheterization and cardiovascular diagnosis, 33(1), 1994, pp. 80-84
Several reports suggest that pretreatment of intracoronary thrombus wi
th fibrinolytic agents may reduce the risk for complications during su
bsequent balloon angioplasty. We report a case, for the first time, of
successful lysis of an extensive thrombus in a native coronary artery
by administering a prolonged intracoronary infusion of streptokinase
to facilitate subsequent angioplasty and discuss the management strate
gy when intracoronary thrombus is encountered. (C) 1994 Wiley-Liss, In
c.