"Mother and child technique" combined with super selective pharmacological intervention for large intracoronary thrombus.
Primary percutaneous intervention (PCI) in acute ST elevation myocardial infarction (MI) is a preferred way of treatment nowadays. Sometimes it becomes difficult to get good myocardial blood flow during PCI if clot burden is large. In this case of an elderly lady, the use of "Mother and Child Technique" combined with super selective pharmacological intervention is demonstrated to achieve good blood flow when conventional means are not working.
Department of Cardiology, The Aga Khan University Hospital, Stadium Road, Karachi. nasir.rahman@aku.edu
Nasir
N
Rahman
Sajid
S
Dhakam
D000077284:Abciximab; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D056988:Anterior Wall Myocardial Infarction / Q000628:therapy*; D000911:Antibodies, Monoclonal / Q000008:administration & dosage*; D000925:Anticoagulants / Q000008:administration & dosage*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D057785:Catheters; D017023:Coronary Angiography; D003326:Coronary Circulation; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000008:administration & dosage*; D013300:Streptokinase / Q000008:administration & dosage*
D000911:Antibodies, Monoclonal; D000925:Anticoagulants; D005343:Fibrinolytic Agents; D007140:Immunoglobulin Fab Fragments; D013300:Streptokinase; D000077284:Abciximab