AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction
Abstract:
Overview
Acute myocardial infarction (AMI) is caused by thrombus formation over a disrupted plaque occluding an epicardial coronary artery. Mechanical thrombectomy is effective in removing thrombus burden from native vessels and saphenous vein grafts. Here we report a case of an aneurysmatic dilatation of an infarct-related artery (IRA) referred to our Institute for rescue PCI, after failed fibrinolysis, successfully treated with only rheolytic thrombectomy (AngioJet, Possis Medical, Minneapolis, Minnesota, USA) without the need for adjunctive balloon or stent implantation. (Heart International 2006; 2: 94-7)
Keywords
Thrombectomy, Coronary aneurysm, Acute myocardial infarction, PCI rescue
Article:
Article Information:
Correspondence
Claudio Giombolini, MD, Interventional Cardiology, “Silvestrini” Hospital, Via Sant’Andrea delle Fratte, 06156 Perugia – Italy, lab.emodinamica@ospedale.perugia.it
Acknowledgements
Appreciation is expressed to Mr Maurizio Proietti and Mr
Paolo Tiradosso for nursing assistance.