Akut koroner sendromlarda (miyokard infarktüsü, kararsız
angina) intrakoroner trombüs görülme oranı yüksektir. Miyokard infaktüsü ile
gelen hastalarda intrakoroner trombüs mevcudiyeti güncel müdahale tekniklerine
rağmen işlem başarısını düşürmekte ve çeşitli komplikasyonlara neden
olmaktadır. Bizim vakamızda 49 yaşında erkek hastada gelişen komplikasyonlar ve
yönetimi sunulmuştur. ST elevasyonlu miyokard infarktüsü ile gelen hastanın son
ön inen koroner arterde trombüsün aspirasyonu sonrası tüm sol sistemde yaygın
trombüs gözlemlendi. İntrakoroner heparin ve tirofiban sonrasında trombüs
geriledi ve direkt stent implantasyonu ile kompikasyon başarılı bir şekilde
yönetildi. Son kılavuzlarda da gösterildiği üzere trombüs aspirasyonu, yoğun
koroner arter trombüsü olması durumunda mortaliteyi istatistiksel olarak
anlamlı olmasa da azalttığı gösterilmiş ancak koroner arter trombüs aspirasyonu
rutin olarak önerilmemektedir.
The incidence of intracoronary thrombosis is high in
acute coronary syndromes. Despite the current intervention techniques, the
presence of intracoronary thrombus in patients with myocardial infarction,
decreases the success of the procedure and causes various complications. We
present the complications and management in a 49-year-old male patient. A
common thrombus was observed in the left whole system after aspiration of the
thrombus in the left anterior descending coronary artery of the patient with ST
elevation myocardial infarction.
Thorombus aspiration widespread left system thrombus acute coronary syndrome successful management complication
Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Articles |
Authors | |
Publication Date | April 28, 2019 |
Submission Date | March 12, 2018 |
Acceptance Date | January 2, 2019 |
Published in Issue | Year 2019 Volume: 12 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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