TY - JOUR
T1 - The combined use of stent retriever and neuro-aspiration as successful bail-out reperfusion strategy in a patient with embolic myocardial infarction
AU - Crimi, Gabriele
AU - Moramarco, Lorenzo
AU - Mandurino-Mirizzi, Alessandro
AU - Quaretti, Pietro
AU - Ferrario, Maurizio
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - acute myocardial infarction
KW - stent design/structure/coatings
KW - thrombectomy
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U2 - 10.1002/ccd.28167
DO - 10.1002/ccd.28167
M3 - Article
AN - SCOPUS:85062777075
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
ER -