Use of a new thrombus extraction catheter (the Pronto) in the treatment of acute myocardial infarction.
The finding of an intracoronary thrombus at the time of coronary angiography is common in patients presenting with an acute coronary syndrome. Pharmacologic and mechanical treatment strategies have been developed and reported to facilitate the treatment of the thrombus along with a percutaneous coronary intervention. We report a case in which a Pronto thrombectomy catheter was utilized to facilitate thrombus removal prior to the placement of a coronary stent in a patient who developed postinfarct angina and pulmonary edema after successful thrombolytic therapy for a acute ST segment elevation myocardial infarction.
Lim
Michael J
MJ
Saint Louis University Health Sciences Center, St. Louis, Missouri 63110, USA. limmj@slu.edu
Reis
Lisa
L
Ziaee
Ali
A
Kern
Morton J
MJ
D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D004562:Electrocardiography; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D017131:Thrombectomy / Q000295:instrumentation*