ISSN 2756-3316
African Journal of Medical Case Reports Vol. 5 (2), pp. 001-006, February, 2017. © International Scholars Journals
Case Report
Can mechanical thrombectomy replace angioplasty for the treatment of patients with ST-segment elevation myocardial infarction (STEMI)? Report of a case
Mehmet Cansel*, Julide Yağmur, Ferhat Eyyupkoca, Hakan Tasolar, Nusret Acıkgoz and Necip Ermis
Faculty of Medicine, Inonu University, Malatya, Turkey.
Accepted 16 July, 2016
Abstract
We are reporting the case of a 64-year-old woman with acute inferior ST elevation myocardial infarction with right ventricular infarction. She underwent primary angiography which revealed total occlusion of distal right coronary artery (RCA) by thrombus. Three runs of aspiration were performed and the thrombus was aspirated from RCA without additional ballooning or stenting. Postaspiration angiography revealed normal TIMI-3 flow down with the resolution of the thrombus and a residual noncritical trombus was seen also. She was started on glycoprotein (GP) IIb-IIIa inhibitor tirofiban for 48 h. A new angiography performed on the 4th post-intervention day and TIMI-3 flow down was seen in RCA with complete disappearance of the residual thrombus.
Key words: Intracoronary thrombus, acute myocardial infarction, thrombus aspiration.