Key result
In a 64-year-old woman with STEMI, mechanical thrombus aspiration without ballooning or stenting, followed by tirofiban, successfully restored TIMI-3 flow and resolved the residual thrombus.
Why the study?
Does thrombus aspiration without ballooning or stenting followed by tirofiban improve angiographic flow in a patient with STEMI?
Case Report (n=1)
No
Does thrombus aspiration without ballooning or stenting followed by tirofiban improve angiographic flow in a patient with STEMI?
Thrombus aspiration without ballooning or stenting, followed by tirofiban, may be a feasible strategy for selected STEMI patients with high thrombus burden and no critical underlying stenosis.
Supports feasibility of aspiration-only strategy in selected STEMI; hypothesis-generating and requires prospective validation.
We are reporting the case of a 64-year-old woman with acute inferior ST elevation myocardial infarction with right ventricular infarction. She underwent primary angiography which revealed total occlusion of distal right coronary artery (RCA) by thrombus. Three runs of aspiration were performed and the thrombus was aspirated from RCA without additional ballooning or stenting. Postaspiration angiography revealed normal TIMI-3 flow down with the resolution of the thrombus and a residual noncritical trombus was seen also. She was started on glycoprotein (GP) IIb-IIIa inhibitor tirofiban for 48 h. A new angiography performed on the 4th post-intervention day and TIMI-3 flow down was seen in RCA with complete disappearance of the residual thrombus.
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Mehmet Cansel (2012) conducted a case report in ST-segment elevation myocardial infarction (STEMI) (n=1). Mechanical thrombus aspiration without ballooning or stenting, followed by tirofiban was evaluated on TIMI flow and resolution of thrombus. In a 64-year-old woman with STEMI, mechanical thrombus aspiration without ballooning or stenting, followed by tirofiban, successfully restored TIMI-3 flow and resolved the residual thrombus.
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