TY - JOUR
T1 - Emergency coronary artery bypass surgery after intracoronary thrombolysis for evolving myocardial infarction
AU - Kay, P.
AU - Ahmad, A.
AU - Floten, S.
AU - Starr, A.
PY - 1985
Y1 - 1985
N2 - Sixteen patients underwent emergency coronary artery bypass surgery immediately after intracoronary streptokinase infusion for acute evolving myocardial infarction. Of these, 11 patients had 70% residual stenosis in the recanalised vessel, and in five thrombolysis was unsuccessful. There were no hospital deaths. All the patients sustained myocardial necrosis, the peak activity of creatine phosphokinase correlating with the time to reperfusion. Chest tube drainage (mean 960 ml) was significantly higher than for control patients but did not correlate with the total dosage of streptokinase. No patients had further myocardial infarction or developed recurrent angina. Selected patients may benefit from coronary bypass surgery after intracoronary streptokinase infusion. If necessary this may be performed immediately with low mortality and morbidity.
AB - Sixteen patients underwent emergency coronary artery bypass surgery immediately after intracoronary streptokinase infusion for acute evolving myocardial infarction. Of these, 11 patients had 70% residual stenosis in the recanalised vessel, and in five thrombolysis was unsuccessful. There were no hospital deaths. All the patients sustained myocardial necrosis, the peak activity of creatine phosphokinase correlating with the time to reperfusion. Chest tube drainage (mean 960 ml) was significantly higher than for control patients but did not correlate with the total dosage of streptokinase. No patients had further myocardial infarction or developed recurrent angina. Selected patients may benefit from coronary bypass surgery after intracoronary streptokinase infusion. If necessary this may be performed immediately with low mortality and morbidity.
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U2 - 10.1136/hrt.53.3.260
DO - 10.1136/hrt.53.3.260
M3 - Article
C2 - 3871622
AN - SCOPUS:0021856685
SN - 0007-0769
VL - 53
SP - 260
EP - 264
JO - British Heart Journal
JF - British Heart Journal
IS - 3
ER -