Thrombectomy using aspiration catheter- An effective first line approach for resistant thrombi in patient of acute myocardial infarction

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dc.contributor.authorTamakuwala, Krunal Krishnakanten_US
dc.contributor.authorBhavsar, Masumen_US
dc.contributor.authorNanda, Viveken_US
dc.date.accessioned2023-07-14T07:56:42Z
dc.date.available2023-07-14T07:56:42Z
dc.date.issued2022-09
dc.description.abstractAcute myocardial infarction is caused by the rupture or erosion of an atherosclerotic plaque, initiating intraluminal thrombosis resulting in partial or complete occlusion of a coronary artery. Primary percutaneous coronary intervention (PCI) is the preferred treatment and is effective in opening the infarct-related artery. These results can be further improved with thrombus aspiration which reduces stent thrombosis and improves myocardial blush. In acute presentation, there is a high load of thrombus in the infarctrelated artery and stent placement in such a case increases the chances of the thrombus shifting both proximally and distally in the microvasculature. In such patient, deferred stenting along with the attempt of thrombus aspiration has the potential for complete thrombus removal with improvement in TIMI flow which eliminates the need of stenting. Here, we present an interesting case report pertaining to the feasibility of multiple thrombus aspiration attempts (>25) as first approach in young patient (Male/32 years/no comorbidities) with late presentation of STEMI and a large resistant thrombus load on an angiogram. We also re-assessed the need of stenting after 5 days of thrombus aspiration attempt along with continued anticoagulation from the first contact with patient.en_US
dc.identifier.affiliationsDept. of Cardiology, KD Hospital, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDept. of Pathology, KD Hospital, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDept. of Emergency Medicine, KD Hospital, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationTamakuwala Krunal Krishnakant, Bhavsar Masum, Nanda Vivek. Thrombectomy using aspiration catheter- An effective first line approach for resistant thrombi in patient of acute myocardial infarction. Southeast Asian Journal of Case Report and Review. 2022 Sept; 9(3): 70-73en_US
dc.identifier.issn2319-1090
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219102
dc.languageenen_US
dc.publisherAssociation of Biomedical Scientistsen_US
dc.relation.issuenumber3en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.18231/j.sajcrr.2022.015en_US
dc.subjectAbxicimaben_US
dc.subjectThrombectomyen_US
dc.subjectLeft Anterior Descendingen_US
dc.titleThrombectomy using aspiration catheter- An effective first line approach for resistant thrombi in patient of acute myocardial infarctionen_US
dc.typeJournal Articleen_US
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