Clinical Reviews and Opinions

  • Abbreviation: Clin. Rev. Opinions
  • Language: English
  • ISSN: 2141-2553
  • DOI: 10.5897/CRO
  • Start Year: 2009
  • Published Articles: 42

Case Report

Can mechanical thrombectomy replace angioplasty for the treatment of patients with ST-segment elevation myocardial infarction (STEMI)? Report of a case

Mehmet Cansel
  • Mehmet Cansel
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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Julide YaÄŸmur
  • Julide YaÄŸmur
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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Ferhat Eyyupkoca
  • Ferhat Eyyupkoca
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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Hakan Tasolar
  • Hakan Tasolar
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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Nusret Acıkgoz
  • Nusret Acıkgoz
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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Necip Ermis
  • Necip Ermis
  • Faculty of Medicine, Inonu University, Malatya, Turkey.
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  •  Accepted: 16 July 2012
  •  Published: 30 November 2012

Abstract

We are reporting the case of a 64-year-old woman with acute inferior ST elevation myocardial infarction with right ventricular infarction. She underwent primary angiography which revealed total occlusion of distal right coronary artery (RCA) by thrombus. Three runs of aspiration were performed and the thrombus was aspirated from RCA without additional ballooning or stenting. Postaspiration angiography revealed normal TIMI-3 flow down with the resolution of the thrombus and a residual noncritical trombus was seen also. She was started on glycoprotein (GP) IIb-IIIa inhibitor tirofiban for 48 h. A new angiography performed on the 4th post-intervention day and TIMI-3 flow down was seen in RCA with complete disappearance of the residual thrombus.

 

Key words: Intracoronary thrombus, acute myocardial infarction, thrombus aspiration.

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