Di Marco Massimo, Materazzo Guido, Mascellanti Marco, Paloscia Leonardo
Divisione di Cardiologia Interventistica-UTIC, Ospedale Santo Spirito, Pescara.
G Ital Cardiol (Rome). 2010 Feb;11(2):165-8.
Embolization of thrombotic material during primary angioplasty may occur even if the procedure is performed with appropriate medication as well as in hospital centers having a high volume of procedures. Over recent years the introduction of mechanical devices for thromboaspiration and/or distal protection have reduced the incidence of embolization thus improving myocardial reperfusion and survival. We report the case of a large thrombus migrated from the proximal left circumflex artery to the proximal left anterior descending artery during balloon inflation. In our opinion, the cause was retrograde expulsion of the thrombus by the deploying balloon.
即使在使用适当药物并在手术量较大的医院中心进行手术时，初次血管成形术期间血栓物质的栓塞仍可能发生。近年来，用于血栓抽吸和/或远端保护的机械装置的引入降低了栓塞的发生率，从而改善了心肌再灌注和生存率。我们报告了一例在球囊扩张期间，一个大血栓从左旋支动脉近端迁移至左前降支动脉近端的病例。我们认为，其原因是展开的球囊将血栓逆行挤出。
