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PTCA was performed in 28 patients with acute MI immediately after intracoronary streptokinase administration. Indications were failure to obtain reflow in 16 patients and high-grade residual stenosis in 12. PTCA was successful in 11 of 16 cases of streptokinase failure, increasing the overall reflow rate from 66% to 77%. PTCA reduced residual coronary stenosis by more than 20% in 9 of 12 cases in which streptokinase infusion was successful, with 1 acute reocclusion. The frequency of recurrent ischemic events in hospital was 76% in patients with a stenosis of 90% or greater after streptokinase infusion (no PTCA), 14% when residual stenosis was less than 90%, and 6% after successful PTCA. Late restenosis or reocclusion was documented in 5 of 11 PTCA cases (45%). Immediate PTCA after streptokinase administration produces increased clinical stability in hospital, but late restenosis is frequent.
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
October 1986,
The New England journal of medicine,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
January 1985,
The American journal of cardiology,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
December 1984,
Missouri medicine,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
July 1982,
IMJ. Illinois medical journal,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
April 1986,
The Alabama journal of medical sciences,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
March 1986,
The New England journal of medicine,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
March 1985,
The New England journal of medicine,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
November 1984,
Hawaii medical journal,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
January 1986,
The American journal of cardiology,
H K Gold, and
M J Cowley, and
I F Palacios, and
G W Vetrovec, and
C W Akins, and
P C Block, and
R C Leinbach
February 1987,
Zhonghua xin xue guan bing za zhi,
