Moretti Andrea, Sanz Sanchez Jorge, Petriello Gennaro, Gasparini Gabriele L
Department of Invasive Cardiology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Department of Invasive Cardiology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Cardiovasc Revasc Med. 2019 Nov;20(11S):49-50. doi: 10.1016/j.carrev.2019.08.011. Epub 2019 Aug 16.
Thrombus burden remains an important mortality risk factor during primary percutaneous coronary interventions (PCI), especially when associated with distal embolization of atheromatous debris (Sharma et al., 2016; Ibanez et al., 2018 [1,2]). Although routine thrombus aspiration during primary PCI in acute coronary syndrome (ACS) is not recommended (Sharma et al., 2016 [1]), some procedures become very challenging when thrombus removal and vessel reperfusion is not achieved with conventional dedicated devices. We describe a case of a 60-year old man with a late-comer infero-lateral ST-segment elevation myocardial infarction (STEMI) undergoing right coronary artery primary PCI. A high thrombotic burden was shown requiring an ultra-deep guide catheter intubation to perform a successful thromboaspiration and stenting.
在直接经皮冠状动脉介入治疗（PCI）期间，血栓负荷仍然是一个重要的死亡风险因素，尤其是当与动脉粥样硬化碎片的远端栓塞相关时（夏尔马等人，2016年；伊瓦涅斯等人，2018年[1,2]）。尽管不建议在急性冠状动脉综合征（ACS）的直接PCI期间进行常规血栓抽吸（夏尔马等人，2016年[1]），但当使用传统专用设备无法实现血栓清除和血管再灌注时，一些手术会变得非常具有挑战性。我们描述了一例60岁男性患者，患有延迟就诊的下侧壁ST段抬高型心肌梗死（STEMI），正在接受右冠状动脉直接PCI。结果显示血栓负荷很高，需要进行超深引导导管插管以成功进行血栓抽吸和支架置入。
