Clinical case of using manual thrombus aspiration during percutaneous coronary intervention in a patient with ST-segment elevation myocardial infarction type 2
https://doi.org/10.20862/0042-4676-2015-0-1-34-39
Abstract
The paper describes a patient admitted to the Emergency Cardiology Department, A.L. Myasnikov Institute of Clinical Cardiology, for diagnosed ST-segment elevation acute coronary syndrome. At the prehospital stage, the patient received ineffective thrombolytic therapy; percutaneous coronary intervention was made at the Department of X-ray Endovascular Diagnostic and Treatment Methods of the Institute 3.5 hours after disease onset. Repeated thrombus aspirations from the infarction-related artery were carried out, which could have a good angiographic pattern. His medical record shows that the
patient has been suffering from persistent atrial fibrillation for a long time. There is also evidence for transient ischemic attacks in 2010 and 2011. The fact that there are no coronary artery stenoses after thrombus removal could suspect the thromboembolic
genesis of myocardial infarction.
patient has been suffering from persistent atrial fibrillation for a long time. There is also evidence for transient ischemic attacks in 2010 and 2011. The fact that there are no coronary artery stenoses after thrombus removal could suspect the thromboembolic
genesis of myocardial infarction.
About the Authors
V. M. Mironov
Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Cardiologist;
Russian Federation
Cardiologist;
A. S. Tereshchenko
Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Cardiologist
Russian Federation
Cardiologist
E. V. Merkulov
Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, DSc, Senior Research Associate of Department of Endovascular Diagnosis and Treatment
Russian Federation
MD, PhD, DSc, Senior Research Associate of Department of Endovascular Diagnosis and Treatment
A. N. Samko
Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, DSc, Professor, Head of Department of Endovascular Diagnosis and Treatment
Russian Federation
MD, PhD, DSc, Professor, Head of Department of Endovascular Diagnosis and Treatment
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Review
For citations:
Mironov V.M., Tereshchenko A.S., Merkulov E.V., Samko A.N. Clinical case of using manual thrombus aspiration during percutaneous coronary intervention in a patient with ST-segment elevation myocardial infarction type 2. Journal of radiology and nuclear medicine. 2015;(1):34-39. (In Russ.) https://doi.org/10.20862/0042-4676-2015-0-1-34-39
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