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How Long Can a Coronary Reperfusion Catheter Be Placed in Acute Coronary Occlusion Following Failed Transluminal Coronary Angioplasty?—A Case Report

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Kyoichi Mizuno

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Naohiro Hakamada

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Hidetaka Seguchi

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Kimio Satomura

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Kazushige Isojima

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Akira Kurita

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

Haruo Nakamura

First Department of Internal Medicine, National Defense Medical College, Saitama Japan

A coronary reperfusion catheter (CRC) is designed to preserve antegrade coronary flow when abrupt coronary closure occurs during percutaneous trans luminal coronary angioplasty (PTCA). Insertion of the catheter to an occluded coronary artery for a few hours has been reported to be effective for myocardial salvage: however, it is unknown how long the catheter can be kept in place without causing extension of myocardial ischemia. The authors experienced a case in which the CRC was kept in place for twenty-four hours for anticoagulant therapy of an occluded coronary artery following failure of PTCA. This case suggests that adequate anticoagulant therapy can prolong the period during which a CRC can be kept in place if emergency coronary bypass surgery cannot be performed immediately after failure of coronary angioplasty.

Angiology, Vol. 42, No. 1, 65-68 (1991)
DOI: 10.1177/000331979104200112


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