Skip to main content
SpringerLink
Log in

Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

A 57-year-old male with a previous history of inferior myocardial infarction suffered from chest pain and diagnosed as ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed a thrombus with delayed filling in the distal right coronary artery. After an aspiration thrombectomy, TIMI 3 flow was restored successfully. An intracoronary ultrasound imaging revealed coronary ectasia. Stenting and ballooning were deferred. A successful lone aspiration thrombectomy was performed for a patient with STEMI associated with coronary ectasia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Noman A, Egred M, Bagnall A, Spyridopoulos I, Jamieson S, Ahmed J. Impact of thrombus aspiration during primary percutaneous coronary intervention on mortality in ST-segment elevation myocardial infarction. Eur Heart J. 2012;33:3054–61.

    Article  PubMed  Google Scholar 

  2. Svilaas T, Vlaar PJ, van der Horst IC, Diercks GF, de Smet BJ, van den Heuvel AF, et al. Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med. 2008;358:557–67.

    Article  PubMed  CAS  Google Scholar 

  3. Kimura K, Kosuge M, Okuda J. Percutaneous coronary intervention in ST-segment elevation myocardial infarction. Cardiovasc Interv Ther. 2010;25:53–9.

    Article  PubMed  Google Scholar 

  4. Fokkema ML, Vlaar PJ, Svilaas T. Thrombus aspiration as definitive mechanical intervention for ST-elevation myocardial infarction: a report of five cases. J Invasive Cardiol. 2008;20:242–4.

    PubMed  Google Scholar 

  5. Talarico GP, Burzotta F, Trani C, Porto I, Leone AM, Niccoli G, et al. Thrombus aspiration without additional ballooning or stenting to treat selected patients with ST-elevation myocardial infarction. J Invasive Cardiol. 2010;22:489–92.

    PubMed  Google Scholar 

  6. Kramer MC, Verouden NC, Li X, Koch KT, van der Wal AC, Tijssen JG, et al. Thrombus aspiration alone during primary percutaneous coronary intervention as definitive treatment in acute ST-elevation myocardial infarction. Catheter Cardiovasc Interv. 2012;79:860–7.

    Article  PubMed  Google Scholar 

  7. Escaned J, Echavarría-Pinto M, Gorgadze T, Gonzalo N, Armengol F, Hernández R, et al. Safety of lone thrombus aspiration without concomitant coronary stenting in selected patients with acute myocardial infarction. Eurointervention. 2013;22:1149–56.

    Article  Google Scholar 

  8. Jamil G, Jamil M, Abbas A, Sainudheen S, Mokahal S, Qureshi A. “Lone aspiration thrombectomy” without stenting in young patients with ST elevation myocardial infarction. Am J Cardiovasc Dis. 2013;10:71–8.

    Google Scholar 

  9. Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, et al. Guidelines on myocardial revascularization. Eur Heart J. 2010;31:2501–55.

    Article  PubMed  Google Scholar 

  10. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. ACCF/AHA/SCAI guideline for percutaneous coronary intervention: executive summary: a report of the American college of cardiology foundation/American heart association task force on practice guidelines and the society for cardiovasc angioplasty and interventions. Circulation. 2011;124:2574–609.

    Article  PubMed  Google Scholar 

  11. Swaye PS, Fisher LD, Litwin P, Vignola PA, Judkins MP, Kemp HG, et al. Aneurysmal coronary artery disease. Circulation. 1983;67:134–8.

    Article  PubMed  CAS  Google Scholar 

  12. Markis JE, Joffe CD, Cohn PF, Feen DJ, Herman MV, Gorlin R. Clinical significance of coronary artery ectasia. Am J Cardiol. 1976;37:217–22.

    Article  PubMed  CAS  Google Scholar 

  13. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia, its prevalence and clinical significance in 4993 patients. Br Heart J. 1985;54:392–5.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  14. Lee CW, Kang SJ, Park DW, Lee SH, Kim YH, Kim JJ, et al. Intravascular ultrasound findings in patients with very late stent thrombosis after drug-eluting or bare metal stent implantation. J Am Coll Cardiol. 2010;55:1936–42.

    Article  PubMed  Google Scholar 

  15. Furugen M, Takagawa Y. Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome. Cardiovasc Interv Ther. 2012;27:57–61.

    Article  PubMed  Google Scholar 

  16. Tanabe Y, Itoh E, Nakagawa I, Suzuki K. Pulse-spray thrombolysis in acute myocardial infarction caused by thrombotic occlusion of ectatic coronary artery. Circ J. 2002;66:207–10.

    Article  PubMed  Google Scholar 

  17. Theron HD, Kleynhans PH, Marx JD, Marks DS. Successful coronary reperfusion with intracoronary streptokinase in a patient with coronary ectasia. S Afr Med J. 1987;72:502–3.

    PubMed  CAS  Google Scholar 

  18. Urasawa K, Inoue N, Yokota T, Oyama N, Sakai H, Fujii S, et al. Mural thrombus in an ectatic right coronary artery caused acute myocardial infarction at downstream coronary artery. Int Heart J. 2005;46:313–6.

    Article  PubMed  Google Scholar 

  19. Fukuhara S, Takase E, Fujimoto T, Takami Y, Yamamoto K, Nishida T, et al. Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report. J Cardiol. 2005;46:195–200.

    PubMed  Google Scholar 

  20. Linares Vicente JA, Lukic A, Ruiz Arroyo JR, Revilla Martí P, Simó Sánchez B. Combined intracoronary thrombolysis, thrombus aspiration and mesh-covered stent implantation for organized massive thrombus burden in ectatic coronary. Cardiovasc Interv Ther 2013. doi:10.1007/s12928-013-0189-5.

  21. Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, et al. Diagnosis, treatment, and long-term management of kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and kawasaki disease, council on cardiovascular disease in the young, American heart association. Circulation. 2004;110:2747–71.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We appreciate the important support of Dr. Hiroyuki Mizuno, Dr. Yasuhiro Shimizu, Dr. Keiji Sakamoto, Dr. Eisuke Miura, Dr. Yukio Maruyama, Dr. Masaki Yanagishita, and Mr. Nobuyuki Soeda from Hoshi General Hospital.

Author information

Authors and Affiliations

  1. Department of Cardiology, Hoshi General Hospital, 159-1 Mukaibaramachi, Koriyama, 963-8501, Japan

    Tetsuro Yokokawa, Yuichi Ujiie, Hironori Kaneko, Yoshitane Seino & Mikihiro Kijima

  2. Department of Cardiology and Hematology, Fukushima Medical University, Fukushima, Japan

    Yasuchika Takeishi

Authors
  1. Tetsuro Yokokawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yuichi Ujiie
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hironori Kaneko
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yoshitane Seino
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mikihiro Kijima
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yasuchika Takeishi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tetsuro Yokokawa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yokokawa, T., Ujiie, Y., Kaneko, H. et al. Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia. Cardiovasc Interv and Ther 29, 339–343 (2014). https://doi.org/10.1007/s12928-013-0235-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-013-0235-3

Keywords

Search

Navigation