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. 2006;2(2):94.
doi: 10.4081/hi.2006.94. Epub 2006 Sep 30.

AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Claudio Giombolini  1 , Salvatore Notaristefano, Stefano Santucci, Francesco Notaristefano, Antonio Notaristefano, Giuseppe Ambrosio
Affiliations

AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Claudio Giombolini et al. Heart Int. 2006.

Abstract

Acute myocardial infarction (AMI) is caused by thrombus formation over a disrupted plaque occluding an epicardial coronary artery. Mechanical thrombectomy is effective in removing thrombus burden from native vessels and saphenous vein grafts. Here we report a case of an aneurysmatic dilatation of an infarct-related artery (IRA) referred to our Institute for rescue PCI, after failed fibrinolysis, successfully treated with only rheolytic thrombectomy (AngioJet, Possis Medical, Minneapolis, Minnesota, USA) without the need for adjunctive balloon or stent implantation.

Keywords: Acute myocardial infarction; Coronary aneurysm; PCI rescue; Thrombectomy.

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Figures

Fig. 1
Fig. 1
- LCx before primary PCI. The arrow indicates the coronary aneurysm and the presence of thrombus.
Fig. 2
Fig. 2
- LCx after rheolytic thrombectomy with AngioJet; note the complete absence of image suggesting the presence of a thrombus in the coronary aneurysm.
See this image and copyright information in PMC

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