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KMID : 0368120040340040410
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Korean Circulation Journal
2004 Volume.34 No. 4 p.410 ~ p.414
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Acute Thrombosis in Coronary and Renal Arteries after Cisplatin and 5-Fluorouracil Administration
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박옥영/Park OY
정명호/조석/심두선/양보라/홍영준/이승현/박우석/김원/김주한/안영근/조정관/박종춘/강정채/Jeong MH/Cho S/Shim DS/Yang BR/Hong YJ/Lee SH/Park WS/Kim W/Kim JH/Ahn YK/Cho JG/Park JC/Kang JC
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Abstract
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A 55-year old male presented with chest and abdominal pain for four hours. One day prior to admission he had received chemotherapeutic agents comprising 130 mg cisplatin and 5,200 mg 5-Fluorouracil for nasopharyngeal carcinoma. EKG showed ST elevations in the leads II, III and aVF. The levels of cardiac enzymes were elevated [creatine kinase (CK) 1129 U/L, CK-MB 180 U/L, troponin T 1.23 ng/mL and troponin I 23.29 ng/mL]. Urokinase was administered at the emergency room, but the patient’s chest pain continued with persistent ST segment elevations. Urgent coronary and renal angiograms revealed thrombotic occlusive lesions in the distal right coronary and right renal arteries. Percutaneous transluminal renal angioplasty using 6.0×20 mm balloon was performed for the renal artery. However, filling defects and distal renal flow were not improved and so Abciximab (ReoPro®) was administered. Follow-up coronary and renal angiograms on the fifth hospital day showed no filling defects with good distal flow in both right coronary and renal arteries.
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KEYWORD
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