Evaluation of thrombotic left main coronary artery occlusions; old problem, different treatment approaches

Simple item page
dc.contributor.authorAkcay, Muraten_US
dc.date.accessioned2020-01-02T06:40:02Z
dc.date.available2020-01-02T06:40:02Z
dc.date.issued2018-07
dc.description.abstractThrombotic left main coronary artery (LMCA) occlusions usually manifest as acute coronary syndrome (ACS) with cardiogenic shock, acute pulmonary edema, cardiac arrest, fatal arrhythmias or sudden cardiac death. There is no clinically predictor for LMCA thrombosis and no consensus regarding the optimal treatment. In the current literature, treatment options include emergency coronary artery bypass grafting (CABG), stent implantation, intracoronary thrombolysis, anticoagulation with heparin or glycoprotein IIb/IIIa inhibitors, thrombus aspiration as reperfusion strategies. Recently, successful results have been reported with low dose, slow infusion tPA for treatment of LMCA thrombus that allowing coronary flow. This regime may be a new treatment idea in only hemodynamically stable patients. Prospective studies and common consensus are needed about the low dose, slow infusion tPA treatment regime and optimal treatment for thrombotic LMCA obstructions.en_US
dc.identifier.affiliationsDepartment of Cardiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkeyen_US
dc.identifier.citationAkcay Murat. Evaluation of thrombotic left main coronary artery occlusions; old problem, different treatment approaches. Indian Heart Journal. 2018 Jul; 70(4): 573-574en_US
dc.identifier.issn0019-4832
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/191615
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber4en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2017.09.006en_US
dc.subjectLeft main coronary artery diseaseen_US
dc.subjectThrombusen_US
dc.subjectDifferent treatment approachesen_US
dc.titleEvaluation of thrombotic left main coronary artery occlusions; old problem, different treatment approachesen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ihj2018v70n4p573.pdf
Size:
219.25 KB
Format:
Adobe Portable Document Format
Download
Collections
Indian Heart Journal