Distal emboli protection in patients undergoing percutaneous coronary intervention after a recent myocardial infarction.
Devices to prevent distal atheroembolization are an important addition to the armamentarium of an interventional cardiologist. We report the use of PercuSurge, a distal balloon occlusion device, in two patients with recent myocardial infarction of differing etiologies. The first case is a patient with an old degenerated vein graft with thrombotic occlusion of greater than 48-hr duration and the second case is a patient with an embolic myocardial infarction in a native coronary artery. In both cases, significant thromboembolic debris was aspirated with technical success and no complications. These cases illustrate use of the PercuSurge device in patients after a recent myocardial infarction for preserving distal myocardial perfusion and microvascular integrity.
Krannert Institute of Cardiology, Clarian Cardiovascular Center, Department of Medicine, Indiana University, Indianapolis, Indiana 46202, USA. vkalaria@iupui.edu
Vijay G
VG
Kalaria
Carl
C
Rouch
Patrick D
PD
Bourdillon
Jeffrey A
JA
Breall
D015906:Angioplasty, Balloon, Coronary; D021721:Balloon Occlusion / Q000295:instrumentation; D017700:Embolism, Cholesterol / Q000209:etiology* / Q000517:prevention & control*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy*