Aspiration thrombectomy is a feasible and safe approach for treating acute myocardial infarction caused by coronary embolism.
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May support aspiration thrombectomy in embolism-related MI; hypothesis-generating and should not yet change practice.
Coronary embolism is one of the less common causes of acute myocardial infarction (AMI). We describe a 72-year-old man with atrial fibrillation having an AMI, in whom a massive intracoronary thrombus of the right coronary artery was successfully removed by aspiration via a thrombectomy catheter, achieving successful reperfusion with a complete resolution of ST-segment elevation. The appearance of the aspirated material suggested coronary embolism was the cause of the AMI. It is concluded aspiration thrombectomy is a feasible and safe approach for treating coronary embolism.
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Sakai et al. (2007) studied this question.
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