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AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

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Author(s): Claudio Giombolini | Salvatore Notaristefano | Stefano Santucci | Francesco Notaristefano | Antonio Notaristefano | Giuseppe Ambrosio

Journal: Heart International
ISSN 1826-1868

Volume: 2;
Issue: 2;
Date: 2006;
Original page

Keywords: Thrombectomy | Coronary aneurysm | Acute myocardial infarction | PCI rescue

ABSTRACT
Acute myocardial infarction (AMI) is caused by thrombus formation over a disrupted plaque occluding an epicardial coronary artery. Mechanical thrombectomy is effective in removing thrombus burden from native vessels and saphenous vein grafts. Here we report a case of an aneurysmatic dilatation of an infarct-related artery (IRA) referred to our Institute for rescue PCI, after failed fibrinolysis, successfully treated with only rheolytic thrombectomy (AngioJet, Possis Medical, Minneapolis, Minnesota, USA) without the need for adjunctive balloon or stent implantation.
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