Diagnosis and Treatment of Thrombotic Storm During Percutaneous Coronary Intervention
10.3870/j.issn.1004-0781.2017.04.003
- VernacularTitle:冠脉介入术中血栓风暴的诊断与救治
- Author:
Xinxin ZHANG
;
Xiangyu XU
;
Xiaomei GUO
- Keywords:
Tirofiban;
Thrombotic Storm;
Percutaneous coronary intervention
- From:
Herald of Medicine
2017;36(4):366-369
- CountryChina
- Language:Chinese
-
Abstract:
During percutaneous coronary intervention,thrombotic storm which is mediated by hypercoagulable state,mechanical distension induced-plaque rupture,platelet activation and adhesion is still the main cause of cardiovascular adverse events.The mortality rate is extremely high if not treated properly.Thrombotic storm can be diagnosed quickly through coronary artery angiography and myocardial blush grades.Once coronary thrombosis occurs,medicine including platelet Ⅱ b/Ⅲ a receptor antagonist tirofiban or vasodilators can rapidly improve coronary flow and effectively treat it.
