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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

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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