A Case Report of Thrombus Aspiration in a Patient with ST Elevation Myocardial Infarction (STEMI)

IntroductionNo reflow is one major side effect that occurs in angioplasty and makes prognosis poor. This article reported the vital role of utilization of new thrombus aspiration catheters in treatment of this phenomenon to succeed in rescue angioplasty. Case reportA 36-year-old man with failed response to streptokinase, 3.5 hrs after anterior STEMI was referred to cath-lab for rescue angioplasty. At angiography, LAD was totally occluded with thrombotic lesion. Because of high clot load, standard angioplasty failed to establish the flow aggravating hemodynamics, so we used the device to aspirate thrombus. This procedure was successful and normal coronary flow was restablished; chest pain terminated and blood pressure roseConclusionThe presence of new thrombus aspiration catheters in cath-lab is an essential treatment device for success of primary and rescue angioplasty.