Reocclusion of Coronary Artery during Coronary Thrombolysis in Patients without Severe Residual Stenosis

Reocclusion of Coronary Artery during Coronary Thrombolysis in Patients without Severe Residual Stenosis

Creators Fujii Banyo

Creators Takashiba Kiyoshi

Creators Hamada Yoshio

Creators Ohno Hiroshi

Creators Ebihara Hironori

Creators Hyakuna Eiji

Creators Tanimoto Yoshinori

Creators Matsuda Yasuo

We present 4 cases of acute reocclusion of a coronary artery . They had total occlusion at the time of acute myocardial infarction, and had beenrecanalized with intracoronary urokinase infusion with a residual lesion of less than 50%. Reocclusion occurred by thrombus formation at the same location, where total occlusion was seenin acute myocardial infarction. These cases may suggest that thrombus formation is a major cause for acute occlusion in some patients without significant obstructive coronary artery disease, as well as the coronary artery wall abnormality is.

[ISSN]0513-1812

[NCID]AA00594272