Why the study?
Managing large thrombus burdens in culprit vessels remains a major challenge in acute myocardial infarction treatment.
Does cutted balloon-directed intracoronary artery retrograde thrombolysis (ICART) improve coronary blood flow in a STEMI patient with a tortuous coronary artery and large thrombus burden?
Does cutted balloon-directed intracoronary artery retrograde thrombolysis (ICART) improve coronary blood flow in a STEMI patient with a tortuous coronary artery and large thrombus burden?
Cutted balloon-directed intracoronary artery retrograde thrombolysis (ICART) may be a safe and effective alternative reperfusion strategy for STEMI patients with massive thrombosis in small and tortuous coronary arteries.
Background: How to deal with large thrombus burdens of culprit's blood vessel remains a great challenge in the treatment of acute myocardial infarction. Case presentation: A 32-year-old Chinese man was diagnosed with ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed that the distal end of a tortuous left circumflex was completely occluded by a large amount of thrombus. Cutted balloon-directed intracoronary artery retrograde thrombolysis (ICART) with urokinase led to the restoration of coronary blood flow. Because there was no obvious plaque rupture or artery stenosis in the coronary artery, it was only dilated, and no stent was implanted. Conclusion: Cutted balloon-directed ICART can be performed effectively and safely in some STEMI patients with tortuous coronary vessels and large thrombus. (REST or named ICART ClinicalTrials.gov number, ChiCTR1900023849).
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Shen et al. (2022) studied this question.
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