Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
A 57-year-old male with a previous history of inferior myocardial infarction suffered from chest pain and diagnosed as ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed a thrombus with delayed filling in the distal right coronary artery. After an aspiration thrombectomy, TIMI 3 flow was restored successfully. An intracoronary ultrasound imaging revealed coronary ectasia. Stenting and ballooning were deferred. A successful lone aspiration thrombectomy was performed for a patient with STEMI associated with coronary ectasia.
- Noman A, Egred M, Bagnall A, Spyridopoulos I, Jamieson S, Ahmed J. Impact of thrombus aspiration during primary percutaneous coronary intervention on mortality in ST-segment elevation myocardial infarction. Eur Heart J. 2012;33:3054–61. CrossRef
- Svilaas T, Vlaar PJ, van der Horst IC, Diercks GF, de Smet BJ, van den Heuvel AF, et al. Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med. 2008;358:557–67. CrossRef
- Kimura K, Kosuge M, Okuda J. Percutaneous coronary intervention in ST-segment elevation myocardial infarction. Cardiovasc Interv Ther. 2010;25:53–9. CrossRef
- Fokkema ML, Vlaar PJ, Svilaas T. Thrombus aspiration as definitive mechanical intervention for ST-elevation myocardial infarction: a report of five cases. J Invasive Cardiol. 2008;20:242–4.
- Talarico GP, Burzotta F, Trani C, Porto I, Leone AM, Niccoli G, et al. Thrombus aspiration without additional ballooning or stenting to treat selected patients with ST-elevation myocardial infarction. J Invasive Cardiol. 2010;22:489–92.
- Kramer MC, Verouden NC, Li X, Koch KT, van der Wal AC, Tijssen JG, et al. Thrombus aspiration alone during primary percutaneous coronary intervention as definitive treatment in acute ST-elevation myocardial infarction. Catheter Cardiovasc Interv. 2012;79:860–7. CrossRef
- Escaned J, Echavarría-Pinto M, Gorgadze T, Gonzalo N, Armengol F, Hernández R, et al. Safety of lone thrombus aspiration without concomitant coronary stenting in selected patients with acute myocardial infarction. Eurointervention. 2013;22:1149–56. CrossRef
- Jamil G, Jamil M, Abbas A, Sainudheen S, Mokahal S, Qureshi A. “Lone aspiration thrombectomy” without stenting in young patients with ST elevation myocardial infarction. Am J Cardiovasc Dis. 2013;10:71–8.
- Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, et al. Guidelines on myocardial revascularization. Eur Heart J. 2010;31:2501–55. CrossRef
- Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. ACCF/AHA/SCAI guideline for percutaneous coronary intervention: executive summary: a report of the American college of cardiology foundation/American heart association task force on practice guidelines and the society for cardiovasc angioplasty and interventions. Circulation. 2011;124:2574–609. CrossRef
- Swaye PS, Fisher LD, Litwin P, Vignola PA, Judkins MP, Kemp HG, et al. Aneurysmal coronary artery disease. Circulation. 1983;67:134–8. CrossRef
- Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical significance of coronary artery ectasia. Am J Cardiol. 1976;37:217–22. CrossRef
- Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia, its prevalence and clinical significance in 4993 patients. Br Heart J. 1985;54:392–5. CrossRef
- Lee CW, Kang SJ, Park DW, Lee SH, Kim YH, Kim JJ, et al. Intravascular ultrasound findings in patients with very late stent thrombosis after drug-eluting or bare metal stent implantation. J Am Coll Cardiol. 2010;55:1936–42. CrossRef
- Furugen M, Takagawa Y. Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome. Cardiovasc Interv Ther. 2012;27:57–61. CrossRef
- Tanabe Y, Itoh E, Nakagawa I, Suzuki K. Pulse-spray thrombolysis in acute myocardial infarction caused by thrombotic occlusion of ectatic coronary artery. Circ J. 2002;66:207–10. CrossRef
- Theron HD, Kleynhans PH, Marx JD, Marks DS. Successful coronary reperfusion with intracoronary streptokinase in a patient with coronary ectasia. S Afr Med J. 1987;72:502–3.
- Urasawa K, Inoue N, Yokota T, Oyama N, Sakai H, Fujii S, et al. Mural thrombus in an ectatic right coronary artery caused acute myocardial infarction at downstream coronary artery. Int Heart J. 2005;46:313–6. CrossRef
- Fukuhara S, Takase E, Fujimoto T, Takami Y, Yamamoto K, Nishida T, et al. Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report. J Cardiol. 2005;46:195–200.
- Linares Vicente JA, Lukic A, Ruiz Arroyo JR, Revilla Martí P, Simó Sánchez B. Combined intracoronary thrombolysis, thrombus aspiration and mesh-covered stent implantation for organized massive thrombus burden in ectatic coronary. Cardiovasc Interv Ther 2013. doi:10.1007/s12928-013-0189-5.
- Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, et al. Diagnosis, treatment, and long-term management of kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and kawasaki disease, council on cardiovascular disease in the young, American heart association. Circulation. 2004;110:2747–71. CrossRef
- Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia
Cardiovascular Intervention and Therapeutics
- Print ISSN
- Online ISSN
- Springer Japan
- Additional Links
- Aspiration thrombectomy
- ST-segment elevation myocardial infarction
- Coronary ectasia
- Author Affiliations
- 1. Department of Cardiology, Hoshi General Hospital, 159-1 Mukaibaramachi, Koriyama, 963-8501, Japan
- 2. Department of Cardiology and Hematology, Fukushima Medical University, Fukushima, Japan