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Updated: Aug 11, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Rescue coronary angiography after failed thrombolysis: a real-life experience
L Gruberg1, E Di Segni, O Agranat
1The Heart Institute, Chaim Sheba Medical Center, Tel Hashomer and Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel. l_gruberg@rambam.health.gov.il
Abstract:
Failed thrombolysis in acute myocardial infarction (AMI) patients is associated with a high risk of morbidity and mortality. Rescue or salvage percutaneous transluminal coronary angioplasty (PTCA) in this group of patients is still controversial. We report our experience with early emergency angiography and rescue PTCA in 27 patients who were hemodynamically unstable or had a large area of myocardium at risk after failed thrombolysis. Rescue PTCA was successful in 95% of attempted PTCA. Three patients were referred to emergency CABG. Early 'rescue angiography' with or without rescue PTCA after failed thrombolysis in a selected patient population, is an important tool for early risk stratification and decision-making during the hyperacute phase of AMI, while it may also serve in restoring coronary artery patency of the infarct-related artery with a high success rate.
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