title: Primary percutaneous thrombus aspiration alone as definitive intervention for left main coronary artery occlusion presenting as acute anterior wall ST elevation myocardial infarction.
abstract: Primary angioplasty and stenting remains the standard of care for patients presenting with acute ST-segment elevation myocardial infarction. Recently, thrombus aspiration has been shown to improve the myocardial perfusion and outcomes in STEMI. In a subset of patients thrombus aspiration may result in optimal perfusion and minimal residual stenosis. These patients may be managed without additional stenting. Three patients with anterior wall STEMI were successfully managed with thrombus aspiration alone without additional stenting. All three are doing well at 30 day follow up with significant improvement in left ventricular ejection fraction.
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India. Electronic address: icvddoctors@mmm.org.in.
authors: Kalaichelvan
authors: K
authors: Udayakumaran
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Vijayakumar
authors: V
authors: Subban
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Balaji
authors: B
authors: Pakshirajan
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Anitha
authors: A
authors: Lakshmanan
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Latchumanadhas
authors: L
authors: Kalidoss
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Ramkumar Soli
authors: RS
authors: Rajaram
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Ezhilan
authors: E
authors: Janakiraman
authors: Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India.
authors: Ajit
authors: A
authors: Mullasari S
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D061185:Mechanical Thrombolysis; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography
keywords: Acute ST-segment elevation myocardial infarction; Left main coronary artery; Primary PCI; Stenting; Thrombus aspiration