A Case Report of Thrombus Aspiration in a Patient with ST Elevation Myocardial Infarction (STEMI)

Document Type : Case report

Authors

1 Associate professor of Cardiology, Mashhad University of Medical Sciences, Mashhad, Iran

2 Cardiologist,Mashhad, Iran

Abstract

Introduction
No reflow is one major side effect that occurs in angioplasty and makes prognosis poor. This article reported the vital role of utilization of new thrombus aspiration catheters in treatment of this phenomenon to succeed in rescue angioplasty.
[
Case report
A 36-year-old man with failed response to streptokinase, 3.5 hrs after anterior STEMI was referred to cath-lab for rescue angioplasty. At angiography, LAD was totally occluded with thrombotic lesion. Because of high clot load, standard angioplasty failed to establish the flow aggravating hemodynamics, so we used the device to aspirate thrombus. This procedure was successful and normal coronary flow was restablished; chest pain terminated and blood pressure rose
Conclusion
The presence of new thrombus aspiration catheters in cath-lab is an essential treatment device for success of primary and rescue angioplasty.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 55, Issue 1 - Serial Number 1
May and June 2012
Pages 59-62

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