Profound thrombocytopenia after using Abciximab for no-reflow during primary percutaneous coronary intervention for ST elevation myocardial infarction
의약학 > 내과학
( Soon Young Park ) , ( Jeong Eun Kim ) , ( Sang Min Kim ) , ( Sang Yeub Lee ) , ( Kyung Kuk Hwang ) , ( Dong Woon Kim ) , ( Myeong Chan Cho ) , ( Jang Whan Bae )
대한내과학회 추계학술발표논문집 2011년, 제2011권 제1호, 163(총1쪽)
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    No-reflow phenomenon occurs frequently during primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI) and it has a strong negative impact on clinical outcome. Adenosine and verapamil are indicated by ESC guidelines and Abciximab could be also considered for treatment of no-reflow. Complications associated with Abciximab include bleeding and profound thrombocytopenia. This report describes a 65 year-old man with STEMI who had a rare complication of profound thrombocytopenia after using abciximab and Intra-aortic balloon pump (IABP) for treatment of no-reflow with cardiogenic shock during PPCI. After transfusion of platelet concentration, platelet count was improved without thrombotic complication in spite of no-reflow phenomenon and the weaning of IABP could be done safely without bleeding using closing device.
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