Primary percutaneous coronary aspiration of thrombus from infarct related artery.
We are reporting the case of a 48-year-old man hypertensive, and smoker presenting with acute inferoposterior ST elevation myocardial infarction (STEMI) with right ventricular infarction. He underwent diagnostic angiogram which revealed total occlusion of mid right coronary artery (RCA) by thrombus. Multiple runs of aspiration were performed using Export Aspiration Catheter-6F and thrombus was aspirated from RCA. Postaspiration stenting was deferred due to absence of any significant obstructive lesion. Some thrombus had migrated to distal right posteriolateral branch (RPLB). He was started on glycoprotein (GP) IIb IIIa inhibitors which had to stopped after a few hours due to upper gastrointestinal bleed. After 48 hours a re-look angiogram demonstrated good flow in RCA with resolution of the residual thrombus.
Shaikh
Ayaz Hussain
AH
Department of Cardiology, Tabba Heart Institute, Karachi. ahsdr1977@yahoo.com
Pathan
Asad
A
Hasan
Khursheed
K
Malik
Faiza
F
Qazi
Hammad Ali
HA
Mujtaba
Iqbal
I
D015906:Angioplasty, Balloon, Coronary; D054059:Coronary Occlusion / Q000209:etiology; D003328:Coronary Thrombosis / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications