Korean Circ J.  1998 Nov;28(11):1905-1909. 10.4070/kcj.1998.28.11.1905.

Aspiration Thromboembolectomy in the Management of Acute Coronary Occlusion during Pertaneous Transluminal Coronary Angioplasty

• Koh YY
• Kim WG
• Hwang HK

• KMID: 1858304
• DOI: http://doi.org/10.4070/kcj.1998.28.11.1905

Abstract

Percutaneous transluminal coronary angioplasty (PTCA) is often used in the management of coronary artery disease and the advances in equipment, technichal skill and acquisition of operator experiences have improved initial success rates and reduced the frequency of complications. However, acute coronary occlusion is the most common and serious complication related to angioplasty and its several potential mechanisms are intracoronary thrombus, coronary artery spasm and coronary artery dissection. Accordingly,heparinization, intracoronary thrombolysis, re-PTCA, stent implantation and emergency coronary artery bypass grafting have been previously used for reopening of an occluded coronary artery during angioplasty. In this report we describe our experience in the management of acute coronary occlusion of left anterior descending artery caused by dislodgement of thrombotic material during PTCA by means of aspiration thromboembolectomy instead of medical therapy,re-PTCA and stent implantation.

Keyword

PTCA; Acute coronary occlusion; Aspiration thromboembolectomy

MeSH Terms

Angioplasty*
Angioplasty, Balloon, Coronary
Arteries
Coronary Artery Bypass
Coronary Artery Disease
Coronary Occlusion*
Coronary Vessels
Emergencies
Spasm
Stents
Thrombosis