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Catheter‐Delivered Ultrasound Therapy for Native Coronary Arterial Thrombosis and Occluded Saphenous Vein Grafts
Author(s) -
Halkin Amir,
Rosenschein Uri
Publication year - 2001
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2001.00225.x
Subject(s) - medicine , intravascular ultrasound , myocardial infarction , thrombus , thrombosis , cardiology , thrombolysis , unstable angina , percutaneous , coronary thrombosis , conventional pci , angina , radiology , catheter , angioplasty
Acute coronary thrombosis, overlying ruptured atherosclerotic plaque, is the hallmark of myocardial infarction and unstable angina. Despite use of modern therapeutic modalities, including glycoprotein IIb/IIIa antagonists and stenting, intracoronary thrombus heralds an increased risk of serious complications following percutaneous coronary interventions (PCI). Abundant in vitro and in vivo experimental data have proven that ultrasound energy is capable of lysing intravascular thrombus without injuring the vessel wall. Expanding experience and technological advancements now allow us to use this tool in clinical practice. In this article we review the emergence of percutaneous ultrasonic thrombolysis as a safe and effective tool for treatment of patients in various clinical settings associated with coronary thrombosis.