Arquivos Brasileiros de Cardiologia (Apr 2002)

Concomitant Use of Glycoprotein IIb/IIIa Inhibitor and Streptokinase after Unsuccessful Rescue Angioplasty

  • José Marconi Almeida de Sousa,
  • Leonardo Severino,
  • Ederlon de Carvalho Rezende,
  • Jairon Nascimento Alencar,
  • Valter Correia de Lima,
  • João Lourenço V. Hermann

DOI
https://doi.org/10.1590/S0066-782X2002000400009
Journal volume & issue
Vol. 78, no. 4
pp. 416 – 419

Abstract

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A 38-year-old man with acute myocardial infarction in the lower wall affecting the right ventricle underwent thrombolytic treatment with streptokinase. Approximately 2 hours after the thrombolytic treatment started, he presented with signs of coronary reocclusion. He underwent emergency cineangiocoronariography that revealed that his right coronary artery was completely occluded by a clot. He unsuccessfully underwent angioplasty and stent implantation. After the concomitant use of glycoprotein IIb/IIIa inhibitor, coronary TIMI III flow was achieved without additional dilations, and he was discharged from the hospital 5 days later with no further complications.