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Manual Coronary Thrombectomy in Primary PCI: What a Satisfaction it is Sometimes to Look Into the Catheter

Alessio Arrivi1, Nicola Bier, Andrea Ascione

  • 1Santa Maria University Hospital, Via Tristano di Joannuccio 1, 05100, Terni, Italy. alessio.arrivi@libero.it.

The Journal of Invasive Cardiology
|January 4, 2022
PubMed

Insights

This case report details the successful removal of the longest coronary thrombus via manual aspiration thrombectomy during primary percutaneous coronary intervention for ST-segment elevation myocardial infarction.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • ST-segment elevation myocardial infarction (STEMI) necessitates timely reperfusion therapy.
  • Percutaneous coronary intervention (PCI) is a standard treatment for acute myocardial infarction.
  • Large thrombus burden can complicate PCI procedures.

Observation:

  • An 89-year-old female presented with inferior STEMI.
  • Coronary angiography showed single-vessel disease with a completely occluded right coronary artery.
  • A significantly long coronary thrombus was identified.

Findings:

  • Manual aspiration thrombectomy was performed using the Eliminate Aspiration Catheter.
  • The entire length of the extensive coronary thrombus was successfully removed.
  • This represents the longest coronary thrombus reported to date to be completely extracted.

Implications:

  • Manual aspiration thrombectomy can be effective in managing large coronary thrombi during primary PCI.
  • Successful removal of extensive thrombus may improve PCI outcomes.
  • This case expands the understanding of managing complex coronary artery disease with large thrombus burden.

Keywords:
STEMIprimary PCIthrombus

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