Key result
Superselective thrombolysis and angioplasty successfully recanalized the right posterolateral and right posterior descending branches following PTCA-induced coronary embolism.
Case Report (n=1)
Superselective thrombolysis and angioplasty can successfully recanalize coronary branches following PTCA-induced coronary embolism in the setting of acute myocardial infarction.
Supports feasibility in PTCA-induced embolism; leaves open need for prospective validation before clinical adoption.
Coronary embolism originating from residual thrombotic material is one of the complications arising during acute percutaneous transluminal coronary angioplasty (PTCA) in acute myocardial infarction. This case report describes a symptomatic embolization of the right posterolateral and right posterior descending branch during success‐ful PTCA of a subtotal stenosis of the midright coronary artery after acute inferior myocardial infarction. Typical ECG signs of reinfarction were recorded. We succeeded in recanalizing these branches by superselective thrombolysis and angioplasty.
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Nixdorff et al. (1989) conducted a case report in Acute myocardial infarction undergoing PTCA (n=1). Superselective thrombolysis and angioplasty was evaluated on Recanalization of embolized branches. Superselective thrombolysis and angioplasty successfully recanalized the right posterolateral and right posterior descending branches following PTCA-induced coronary embolism.
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