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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Claudio Giombolini, Salvatore Notaristefano, Stefano Santucci, Francesco Notaristefano, Antonio Notaristefano, Giuseppe Ambrosio
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Published Online: Jul 26th 2018 Heart International 2006;2(2):94-7
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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

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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.

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