Abstract

Thrombus aspiration in STEMI with heavy thrombus burden

Author(s): Abdelaziz Ahmed Abdelaziz*

Introduction: Thrombus Aspiration (TA) rarely improves clinical outcomes in patients who undergo primary Percutaneous Coronary Intervention (PPCI) for ST-Segment Elevation Myocardial Infarction (STEMI). However, there is some doubt regarding the prospective benefits of TA in patients with a high Thrombus Burden (TB). This case report aimed to assess the advantages of TA in a patient with high TBSTEMI.

Patient concerns: A 59-year-old male patient had typical chest pain for the past 2 hours during the night. The electrocardiogram indicates an inferior STEMI and the echocardiography results show ischemic changes and abnormal regional wall motion.

Diagnoses: The findings of the coronary angiography showed complete occlusion of the Right Coronary Artery (RCA) from its ostium.

Interventions: PPCI was performed on the RCA using the insertion of two drugeluting stents following utilizing a TA device.

Outcomes: Successful PPCI to RCA using 2 DES.

Conclusion: TA in STEMI patients with high Thrombus Burden (TB) offers a better result.