药物包被球囊血管成形术和单抗血小板治疗缺血性脑卒中合并出血和急性冠状动脉综合征的成功

H. Ho, K. Mok
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引用次数: 1

摘要

一个55岁的男性提出了两个具有挑战性的问题,即急性冠状动脉综合征(ACS)和大出血发作。他最初表现为缺血性中风,并接受了溶栓治疗。然而,这是复杂的出血转化。他随后发展为ACS,急诊冠状动脉造影显示左前降支近端严重狭窄。经皮冠状动脉介入治疗(PCI)被认为是必要的,但我们注意到使用抗血栓治疗会引起出血并发症。尽管情况复杂,我们在PCI策略和抗血小板方案(药物包被球囊血管成形术和单一抗血小板治疗)方面采用了一种新的方法,并取得了成功的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful drug-coated balloon angioplasty and single anti-platelet therapy to treat an ischaemic stroke patient with haemorrhage and acute coronary syndrome
A 55-year-old male presented with two challenging problems, i.e. acute coronary syndrome (ACS) and a major bleeding episode. He first presented with ischaemic stroke and was treated with thrombolysis. However this was complicated by haemorrhagic transformation. He subsequently developed ACS with urgent coronary angiography demonstrating a critical stenosis in the proximal left anterior descending artery. Percutaneous coronary intervention (PCI) was deemed necessary but we were mindful of causing bleeding complications from the use of anti-thrombotic therapy. Despite the complexities, we used a novel approach in terms of PCI strategy and anti-platelet regimen (drug-coated balloon angioplasty and a single anti-platelet therapy) and achieved a successful outcome.
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