The combined use of stent retriever and neuro-aspiration as successful bail-out reperfusion strategy in a patient with embolic myocardial infarction.
Gabriele CrimiLorenzo MoramarcoAlessandro Mandurino-MirizziPietro QuarettiMaurizio FerrarioPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Embolic myocardial infarction account for ≈3% of all ST-segment myocardial infarction and represents a challenge often left no-reperfused because current thrombectomy technologies are inefficient to grab thrombus wedged into distal coronary arteries. We present the case of a 34-year-old man who presented with anterior STEMI and a proximal left anterior descending coronary artery ulcerated plaque with a great thrombus burden, which led to distal embolization. Failure of several attempts of manual and rheolytic thrombectomy, led us to use the "Solumbra technique", the combined use of stent retriever and Penumbra catheter was successful in restoring patency and flow.
Keyphrases
- coronary artery
- acute ischemic stroke
- heart failure
- left ventricular
- coronary artery disease
- pulmonary artery
- minimally invasive
- ultrasound guided
- acute myocardial infarction
- percutaneous coronary intervention
- risk factors
- st elevation myocardial infarction
- acute coronary syndrome
- st segment elevation myocardial infarction
- cerebral ischemia