The best way to manage patients with failed thrombolysis is with rescue percutaneous transluminal coronary angioplasty (PTCA) in patients still within 12 hours of presentation (REACT and other studies).
Reference
- Oldroyd KG. Identifying failure to achieve complete (TIMI 3) reperfusion following thrombolytic treatment. Heart 2000; 84: 113-115.
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