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A case of successful reperfusion through a combination of intracoronary thrombolysis and aspiration thrombectomy in ST-segment elevation myocardial infarction associated with an ectatic coronary artery

Title
A case of successful reperfusion through a combination of intracoronary thrombolysis and aspiration thrombectomy in ST-segment elevation myocardial infarction associated with an ectatic coronary artery
Author
이용구
Keywords
Myocardial infarction; Aspiration thrombectomy; Intracoronary thrombolysis; Coronary ectasia; Case report
Issue Date
2017-04
Publisher
BIOMED CENTRAL LTD
Citation
BMC CARDIOVASCULAR DISORDERS, v. 17, Article no. 94
Abstract
Background: Large thrombus burdens in ectatic coronary arteries that remain after aspiration thrombectomy can negatively impact outcomes following percutaneous coronary interventions in patients with acute myocardial infarction. Case presentation: A 53-year-old man presented with ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed an ectatic right coronary artery (RCA) that was completely occluded in the mid portion by a large amount of thrombus. Catheter-directed intracoronary thrombolysis with alteplase led to recovery of coronary blood flow, which multiple attempts of aspiration thrombectomy had failed to achieve. Coronary angiography 9 days later showed good blood flow and insignificant stenosis remaining in the RCA; this had completely resolved in 6 months' follow-up coronary angiography. Conclusion: Catheter-directed intracoronary thrombolysis can be performed effectively and safely when repeat aspiration thrombectomy fails to produce satisfactory coronary reperfusion in STEMI patients with large thrombus burdens in ectatic coronary arteries.
URI
https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-017-0527-0https://repository.hanyang.ac.kr/handle/20.500.11754/113757
ISSN
1471-2261
DOI
10.1186/s12872-017-0527-0
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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