Document Detail

Successful management of a huge thrombus in coronary aneurysmatic dilatation after failed mechanical thrombectomy during acute myocardial infarction.
MedLine Citation:
PMID:  22929567     Owner:  NLM     Status:  Publisher    
The benefit of the routine application of aspiration thrombectomy in primary percutaneous coronary intervention (PPCI) is now well established. The optimal management of patients who have 'failed' thrombectomy, characterized by a large residual thrombus burden after repeated mechanical thrombectomy, however, is not known. We report a case of failed aspiration thrombectomy in a 55-year-old man who was admitted to our institution with chest pain non-ST-elevation myocardial infarction due to a huge nonocclusive thrombus in an aneurysmatic segment of the left anterior descending coronary artery. Aspiration thrombectomy did little to reduce thrombus load and so the patient was treated with unfractioned heparin infusion and warfarin. Repeat coronary angiography at 7 days revealed complete thrombus resolution with thrombolysis in myocardial infarction grade 3 anterograde flow.This case demonstrates the potential for appropriate anticoagulation therapy as a treatment option for the management of patients following failed thrombectomy in PPCI.
Alfonso Ielasi; Angelo Anzuini
Related Documents :
9786377 - The rational clinical examination. is this patient having a myocardial infarction?
7186767 - Echocardiography application in experiments on small laboratory animals.
11724437 - Sudden death from myocardial contusion following an isolated blunt force trauma to the ...
1895047 - Patients admitted to the emergency room with symptoms indicative of acute myocardial in...
12674047 - Cardiac care: 2. electrocardiogram interpretation--atrial arrhythmias.
418647 - Cerebral ischemia. i. current angiographic techniques, complications, and safety.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-27
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
U.O. Cardiologia-Emodinamica Istituto Clinico Humanitas Mater Domini, Castellanza, Varese, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  From intraplaque haemorrhages to plaque vulnerability: biological consequences of intraplaque haemo...
Next Document:  Randomized trial of standard versus ClearWay-infused abciximab and thrombectomy in myocardial infarc...