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KMID : 0368119950250010097
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Korean Circulation Journal
1995 Volume.25 No. 1 p.97 ~ p.101
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Recanalization of Acute Coronary Closure During Cardiopulmonary Resuscitation
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양창호
성명식/김문범/손지원/도현국/김무현/김영태/김종성
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Abstract
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Acute coronary closure occurs 2-10% during the procedure of PTCA, 50-80% of those events are in the catheterization room. The causes of acute coronary closure are mainly due to dissection, thrombosis or spasm. We recently experienced a case of
acute
left main coronary artery closure due to guiding catheter induced embolization in the 56 year-old female, unstable angina patient complicated by diabetes mellitus and chronic renal failure.
The patient received cardiopulmonary resuscitation shortly after acute closure because of cardiac arrest. During the resuscitation, we performed PTCA at the site of acute closure. The blood pressure maintained normaly after successful
recanalization.
And then we inserted IABP(intraaortic balloon pump) balloon and did PTCA of original stenosis sites. The patient removed IABP 24 hours later and discharged a month later without complication.
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KEYWORD
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