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Published on: January 18, 2018
Successful endovascular treatment for simultaneous multiple thromboemboli following myocardial infarction
Akiko Sakai1, Hidehiko Hara, Masato Nakamura
1Toho University Ohashi Medical Center, Tokyo, Japan.
Insights
This case study highlights a rare complication of myocardial infarction treatment: widespread arterial thromboemboli. Emergency endovascular therapy successfully resolved these blockages, preventing further complications.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Radiology
Background:
- An 81-year-old female presented with myocardial infarction and heart failure, successfully treated with percutaneous coronary intervention (PCI).
- Post-PCI, an apical thrombus was identified, and despite anticoagulant therapy, multiple simultaneous thromboemboli developed in the renal, superior mesenteric (SMA), and popliteal arteries.
Abstract:
An 81-year-old female was referred for myocardial infarction with heart failure. She was successfully treated with percutaneous coronary intervention (PCI), and left ventriculogram revealed an apical thrombus 20 mm in diameter. Multiple simultaneous thromboemboli occurred in her right renal artery, supramesenteric artery (SMA), and right popliteal artery on the fifth day after PCI despite anticoagulant therapy. Emergency endovascular therapy (EVT) with an aspiration catheter and ballooning were performed to the popliteal and renal artery, in addition to additional stenting of the SMA because of an intramural hematoma. This one session of emergency EVT was sufficient to save this patient, and no sequelae were observed after this treatment.
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