Complete y-shaped thrombus removal with a simple quickcat thrombectomy device in patients with subacute STEMI and inflamatory bowel disease (original) (raw)

Thrombus in normal coronary arteries: Retrospective study and review of case reports

Archives of Cardiovascular Diseases, 2011

Background. -Myocardial infarction is rarely caused by non-occlusive thrombus in angiographically normal coronary arteries. The cases reported in the literature are scarce and follow-up was usually short. The efficacy and tolerability of the exclusively medical treatment strategy used in most cases remain unknown. Aims. -To evaluate efficacy of medical treatment and long-term prognosis in these patients. Methods. -We retrospectively selected and analysed patients hospitalized in our centre between 1998 and 2008 for myocardial infarction caused by non-occlusive thrombus in angiographically normal coronary arteries (defined as stenosis < 30%), who were exclusively medically treated. A long-term follow-up was performed. A review of the literature regarding such cases was carried out.

Iatrogenic left main coronary artery thrombosis during percutaneous coronary intervention

International Journal of Cardiology, 2005

The patient was admitted to our clinic with the diagnosis of unstable angi na pectoris. In the coronary angiography, two stenoses (proxismal 90%, disto/ 60%) in the circun~flex artery (CX) were seen. Left anterior descending (LAD) and right coronary arteri es were normal. In o nother session, coronary balloon angioplasty was performed for the CX lesi on s after which a resi dua/ stenosis was detected and stent implantation was decided. Unfortunately, it was not possible to cross the proximal fesian with the 3,0XJ8 mm stent. l mmediately, after pul/ing back the stent, the patient had severe chest pain. Angiography reveo/ed a thrombotic sub-total occ/usion of left main coronary artery (LMCA). During the stent imp/antation to the LMCA fesian , the thrombus moved distal/y into the circumflex artery possibly by the mavement of the guide wire, leaving the LMCA totally free of thrombus. Accompanied by İnımediate relief of chest pain, ECG demonstrated at /east 80% resolving in the ST segment elevations. The proxima//esion in CX artery was stented and successful angioplasty was peıformed for distal/esian afterwards, resulting o Tl-M/lll flow. The patient was completely symptomfree in the follow-up period , and control angiography 1 month later reveo/ed a patent stent in CX beside normal LAD, LMCA and right coronary artery. An extremely rare, iatrogenic, subtotalleft main coronary artery thrombotic stenosis ina patient who had undergone prior PTCA-stenting of the left circumflex artery was discussed in the lig hı of the literature.

Left Main Coronary Artery Thrombus: A Case Series with Different Outcomes

Journal of Thrombosis and Thrombolysis, 2005

Left main coronary artery (LMCA) thrombosis with acute myocardial infarction is an uncommon condition with an extremely high mortality. The small number of reported cases prevents the development of an evidence-based approach. Hence there are no clear-cut guidelines describing the best management approach for this condition. We describe our experience with six patients who presented with LMCA thrombosis and discuss the epidemiology, etiology and management options available for this high-risk subgroup.