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
- Files in This Item:
- A case of successful reperfusion through a combination of intracoronary thrombolysis and aspiration thrombectomy in ST-segment elevation ~.pdfDownload
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