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Treatment of Acute Stent Thrombosis with Tirofiban after Percutaneous Saphanous Graft Intervention

Author(s): Yazıcı M et al.

Journal: Konuralp Tip Dergisi
ISSN 1309-3878

Volume: 3;
Issue: 3;
Start page: 15;
Date: 2011;
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Keywords: Acute stent thrombosis | intracoronary tirofiban | saphenous vein

ABSTRACTPatients with previous CABG may require repeat revascularization procedures due to progression of atherosclerotic disease in the native coronary arteries and/or the bypass grafts. Repeat grafting is complicated by increased morbidity and mortality and has a worse clinical outcome than a first bypass operation. Thus, increasing numbers of publications recommend percutaneous coronary interventions (PCI) for graft vessels. In parallel, it is also reported that distal embolization, coronary slow flow, or no-reflow phenomena rates are high in intervened vessels. Death, myocardial infarction (MI), and need for second revascularization are also reported to occur frequently. There is not an agreement on a certain treatment for reflow phenomenon occurring in grafts. In this case, we discussed the treatment of acute thrombosis no reflow occurring during graft vascularization in the light of a case which developed acute stent thrombosis after primary percutaneous intervention to saphenous vein graft which disappeared after tirofiban infusion.

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