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  • Title: Coronary artery dissection after transluminal angioplasty. Possible deleterious effects of treatment with intracoronary streptokinase.
    Author: Steffenino G, Meier B, Velebit V, Finci L.
    Journal: G Ital Cardiol; 1986 May; 16(5):436-8. PubMed ID: 2942436.
    Abstract:
    Percutaneous transluminal coronary angioplasty (PTCA) is a nonsurgical alternative in the management of selected patients with coronary artery disease. Intimal dissection is the mechanism by which PTCA dilates coronary obstructions. Acute vessel occlusion is a rare but severe complication. Vessel patency can often be restored by fibrinolytic therapy when occlusion occurs immediately after angioplasty. A case of a patient with coronary dissection after PTCA and delayed obstruction, possibly aggravated by streptokinase is presented.
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