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Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
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Successful treatment for refractory coronary thrombus with scoring balloon angioplasty

Yusuke Hosokawa1, Keiji Tanaka, Kyoichi Mizuno

  • 1Intensive and Cardiac Care Unit, Nippon Medical School, Tokyo, Japan. y-hosokawa@nms.ac.jp

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|August 2, 2011
PubMed

Insights

A rare calcified thrombus caused acute myocardial infarction. The AngioSculpt scoring balloon catheter successfully compressed the thrombus, restoring coronary flow without stenting.

Area of Science:

  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Atrial fibrillation is a common arrhythmia associated with embolic events.
  • Acute myocardial infarction (MI) can result from coronary artery embolism.

Observation:

  • A patient with chronic atrial fibrillation presented with acute MI due to a totally occluded right coronary artery.
  • Intravascular ultrasound revealed a large, hard, calcified thrombus, resistant to standard treatments.

Findings:

  • A novel approach using the AngioSculpt scoring balloon catheter achieved successful thrombus compression.
  • Normal coronary flow was restored without the need for coronary stent implantation.

Implications:

  • The AngioSculpt scoring balloon catheter demonstrates efficacy in managing challenging calcified coronary thrombi.
  • This case highlights a potential treatment strategy for rare embolic events causing acute MI.

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