tetano
Editor, Senior Moderator
J Cardiol Cases
. 2022 Jan 12.
doi: 10.1016/j.jccase.2021.12.013. Online ahead of print.
Transcatheter aspiration of a thrombus and percutaneous transluminal coronary recanalization for ST-segment elevation myocardial infarction related to coronavirus disease 2019
Eiko Sakai[SUP] 1 2 [/SUP], Tatsuya Fujinami[SUP] 1 3 [/SUP], Aya Yamaguchi[SUP] 1 [/SUP], Kuniyoshi Sato[SUP] 1 [/SUP], Yuta Taomoto[SUP] 1 [/SUP], Takuya Adachi[SUP] 4 [/SUP], Takashi Shibui[SUP] 1 [/SUP], Akihiro Hata[SUP] 1 [/SUP]
Affiliations
Abstract
Although the novel coronavirus disease 2019 (COVID-19) causes severe viral pneumonia, it has also been reported, in some cases, to co-exist with ST-segment elevation myocardial infarction. Here, we describe the case of a patient with COVID-19 and coronary risk factors for hypertension, including smoking and obesity, who developed acute myocardial infarction due to primary coronary artery thrombosis and was treated with transcatheter thrombus aspiration and percutaneous transluminal coronary recanalization (PTCR) with intracoronary urokinase administration. A large volume of thrombus was collected and thrombolysis in myocardial infarction flow grade 3 was obtained after the procedures. PTCR with or without transcatheter thrombus aspiration may be a useful treatment option.
Keywords: COVID-19; Percutaneous transluminal coronary recanalization; ST-segment elevation myocardial infarction.
. 2022 Jan 12.
doi: 10.1016/j.jccase.2021.12.013. Online ahead of print.
Transcatheter aspiration of a thrombus and percutaneous transluminal coronary recanalization for ST-segment elevation myocardial infarction related to coronavirus disease 2019
Eiko Sakai[SUP] 1 2 [/SUP], Tatsuya Fujinami[SUP] 1 3 [/SUP], Aya Yamaguchi[SUP] 1 [/SUP], Kuniyoshi Sato[SUP] 1 [/SUP], Yuta Taomoto[SUP] 1 [/SUP], Takuya Adachi[SUP] 4 [/SUP], Takashi Shibui[SUP] 1 [/SUP], Akihiro Hata[SUP] 1 [/SUP]
Affiliations
- PMID: 35035630
- PMCID: PMC8752290
- DOI: 10.1016/j.jccase.2021.12.013
Abstract
Although the novel coronavirus disease 2019 (COVID-19) causes severe viral pneumonia, it has also been reported, in some cases, to co-exist with ST-segment elevation myocardial infarction. Here, we describe the case of a patient with COVID-19 and coronary risk factors for hypertension, including smoking and obesity, who developed acute myocardial infarction due to primary coronary artery thrombosis and was treated with transcatheter thrombus aspiration and percutaneous transluminal coronary recanalization (PTCR) with intracoronary urokinase administration. A large volume of thrombus was collected and thrombolysis in myocardial infarction flow grade 3 was obtained after the procedures. PTCR with or without transcatheter thrombus aspiration may be a useful treatment option.
Keywords: COVID-19; Percutaneous transluminal coronary recanalization; ST-segment elevation myocardial infarction.