Primary Percutaneous Coronary Intervention by a Stentless Technique for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report and Review of the Literature

被引：10

作者：

Fujino, Susumu ^{[1
]}

Niwa, Satoru ^{[1
]}

Fujioka, Kensuke ^{[1
]}

Mabuchi, Tomohito ^{[1
]}

Noji, Yoshihiro ^{[1
]}

Yamaguchi, Masato ^{[1
]}

Aoyama, Takahiko ^{[1
]}

机构：

[1] Fukui Prefectural Hosp, Dept Cardiol, Gifu, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 02期

关键词：

myocardial infarction; idiopathic thrombocytopenic purpura; percutaneous coronary intervention; coagulation disorder; Lacrosse non slip element balloon; a balloon catheter with 3 nylon elements; IMMUNE THROMBOCYTOPENIA; ARTERY-DISEASE; PATIENT; IMMUNOGLOBULIN; ANGIOPLASTY;

D O I：

10.2169/internalmedicine.55.4544

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 78-year-old man who had been diagnosed with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with chest pain, cold sweating and nausea. An electrocardiogram and echocardiogram revealed an ST elevated acute lateral myocardial infarction. He underwent an immediate cardiac catheterization. An occluded left circumflex artery was detected by coronary angiography. Reperfusion was performed successfully by non-slip element balloon angioplasty alone, without stenting, to avoid prolonged dual anti-platelet therapy. In this report we discussed the management strategies of acute myocardial infarction in a patient with concomitant ITP.

引用

页码：147 / 152

页数：6

共 27 条

[1] Thrombocytopenia, immunoglobulin treatment and acute myocardial infarction - A case report [J].