Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism

被引:21
作者
Sakai, Koyu
Inoue, Katsumi
Nobuyoshi, Masakiyo
机构
[1] Kokura Mem Hosp, Dept Cardiol, Kitakyushu, Fukuoka 8028555, Japan
[2] Kurashiki Cent Hosp, Dept Cardiol, Kurashiki, Okayama, Japan
关键词
acute myocardial infarction; coronary embolism; aspiration thrombectomy; atrial fibrillation;
D O I
10.1536/ihj.48.387
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary embolism is one of the less common causes of acute myocardial infarction (AMI). We describe a 72-year-old man with atrial fibrillation having an AMI, in whom a massive intracoronary thrombus of the right coronary artery was successfully removed by aspiration via a thrombectomy catheter, achieving successful reperfusion with a complete resolution of ST-segment elevation. The appearance of the aspirated material suggested coronary embolism was the cause of the AMI. It is concluded aspiration thrombectomy is a feasible and safe approach for treating coronary embolism.
引用
收藏
页码:387 / 392
页数:6
相关论文
共 13 条
[1]  
Belli G, 2000, CATHETER CARDIO INTE, V50, P362, DOI 10.1002/1522-726X(200007)50:3<362::AID-CCD22>3.0.CO
[2]  
2-H
[3]  
COTRAN RS, 1994, ROBBINS PATHOLOGIC B, P99
[4]  
FOSTER V, 1992, NEW ENGL J MED, V326, P242
[5]   Incidence and clinical significance of distal embolization during primary angioplasty for acute myocardial infarction [J].
Henriques, JPS ;
Zijlstra, F ;
Ottervanger, JP ;
de Boer, MJ ;
van't Hof, AWJ ;
Hoorntje, JCA ;
Suryapranata, H .
EUROPEAN HEART JOURNAL, 2002, 23 (14) :1112-1117
[6]   Clinical implications of the 'no reflow' phenomenon - A predictor of complications and left ventricular remodeling in reperfused anterior wall myocardial infarction [J].
Ito, H ;
Maruyama, A ;
Iwakura, K ;
Takiuchi, S ;
Masuyama, T ;
Hori, M ;
Higashino, Y ;
Fujii, K ;
Minamino, T .
CIRCULATION, 1996, 93 (02) :223-228
[7]  
KOUDSTAAL PJ, 1993, LANCET, V342, P1255
[8]  
LAUPACIS A, 1994, ARCH INTERN MED, V154, P1449
[9]   Mechanical prevention of distal embolization during primary angioplasty - Safety, feasibility, and impact on myocardial reperfusion [J].
Limbruno, U ;
Micheli, A ;
De Carlo, M ;
Amoroso, G ;
Rossini, R ;
Palagi, C ;
Di Bello, V ;
Petronio, AS ;
Fontanini, G ;
Mariani, M .
CIRCULATION, 2003, 108 (02) :171-176
[10]  
MCBRIDE R, 1994, LANCET, V343, P687