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Journal of Thrombosis and Thrombolysis
Published in: Journal of Thrombosis and Thrombolysis 3/2009

01-04-2009

Treatment of a large left main coronary artery thrombus by aspiration thrombectomy

Authors: Petr Hajek, David Alan, Jiri Vejvoda, Katerina Linhartova, Petr Skapa, Zdenka Hajsmannova, Josef Veselka

Published in: Journal of Thrombosis and Thrombolysis | Issue 3/2009

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Abstract

A left main coronary artery thrombosis is a life-threatening condition demanding immediate therapeutic management. Traditional treatment options include thrombolysis, percutaneous coronary intervention (PCI) with stenting or cardiac bypass surgery. The number of reported cases in which aspiration thrombectomy has been used is limited. Indications for this therapeutic approach are determined by coronary anatomy, clinical stability, and hemodynamic condition of the patient. We present the case of an acute left main coronary artery thrombosis leading to progressive deterioration of left ventricle function that was successfully treated with aspiration thrombectomy.
Literature
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Lefèvre T, Garcia E, Reimers B et al (2005) X AMINE ST Investigators. X-sizer for thrombectomy in acute myocardial infarction improves ST-segment resolution: results of the X-sizer in AMI for negligible embolization and optima ST resolution (X AMINE ST) trial. J Am Coll Cardiol 46(2):246–252PubMedCrossRef
2.
Silva-Orrego P, Colombo P, Bigi R et al (2006) Thrombus aspiration before primary angioplasty improves myocardial reperfusion in acute myocardial infarction: the DEAR-MI (dethrombosis to enhance acute reperfusion in myocardial infarction) study. J Am Coll Cardiol 48(8):1552–1559. Epub 2006 Sep 26PubMedCrossRef
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Farb A, Burke AP, Tang AL et al (1996) Coronary plaque erosion without rupture into a lipid core. A frequent cause of coronary thrombosis in sudden coronary death. Circulation 93(7):1354–1363PubMed
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Nurkalem Z, Uslu N, Gorgulu S et al (2006) Left main coronary thrombosis with essential thrombocythemia. J Thromb Thrombolysis 22(3):165–167PubMedCrossRef
Metadata
Title
Treatment of a large left main coronary artery thrombus by aspiration thrombectomy
Authors
Petr Hajek
David Alan
Jiri Vejvoda
Katerina Linhartova
Petr Skapa
Zdenka Hajsmannova
Josef Veselka
Publication date
01-04-2009
Publisher
Springer US
Published in
Journal of Thrombosis and Thrombolysis / Issue 3/2009
Print ISSN: 0929-5305
Electronic ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-008-0209-y

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