Three cases of left main stem thrombus complicating PCI: the role of FilterWire protection for the virgin territory.
We report on three cases of left main stem thrombosis complicating percutaneous coronary angioplasty. We focused on the issue of dealing with emboli in the non-culprit vessel, as embolism in the "virgin" vessel is often associated with severe cardiogenic shock. We describe the use of a FilterWire technique to protect the non-culprit vessel and a case in which the FilterWire was occluded by thrombus leading to shock. The third case illustrates the difficulty with FilterWire protection if stenting is required in the left main stem itself.
Wu
Eugene B
EB
Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong, Ngan Shing Street, Shatin, Hong Kong. ebwu@netvigator.com
Chan
Wilson W M
WW
Yu
Cheuk-Man
CM
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D000925:Anticoagulants / Q000627:therapeutic use; D003328:Coronary Thrombosis / Q000209:etiology / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology / Q000628:therapy; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy
D000925:Anticoagulants