Key result
Stentless percutaneous coronary intervention using a non-slip element balloon successfully treated acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura, avoiding the need for prolonged dual antiplatelet therapy.
Case Report (n=1)
Stentless PCI using non-slip element balloon angioplasty is a feasible strategy for acute myocardial infarction in patients with concomitant ITP to minimize bleeding risk by avoiding prolonged dual antiplatelet therapy.
May reduce bleeding risk in select ITP patients with AMI; leaves open generalizability and need for prospective trials.
A 78-year-old man who had been diagnosed with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with chest pain, cold sweating and nausea. An electrocardiogram and echocardiogram revealed an ST elevated acute lateral myocardial infarction. He underwent an immediate cardiac catheterization. An occluded left circumflex artery was detected by coronary angiography. Reperfusion was performed successfully by non-slip element balloon angioplasty alone, without stenting, to avoid prolonged dual anti-platelet therapy. In this report we discussed the management strategies of acute myocardial infarction in a patient with concomitant ITP.
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Fujino et al. (2016) conducted a case report in Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura (n=1). Stentless percutaneous coronary intervention (non-slip element balloon angioplasty) was evaluated on Reperfusion success and absence of restenosis or bleeding. Stentless percutaneous coronary intervention using a non-slip element balloon successfully treated acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura, avoiding the need for prolonged dual antiplatelet therapy.
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