Successful endovascular treatment for simultaneous multiple thromboemboli following myocardial infarction
Sakai, A.; Hara, H.; Nakamura, M.
Journal of Invasive Cardiology 25(6): E133-E135
2013
ISSN/ISBN: 1557-2501 PMID: 23735368 Document Number: 666409
An 81-year-old female was referred for myocardial infarction with heart failure. She was successfully treated with percutaneous coronary intervention (PCI), and left ventriculogram revealed an apical thrombus 20 mm in diameter. Multiple simultaneous thromboemboli occurred in her right renal artery, supramesenteric artery (SMA), and right popliteal artery on the fifth day after PCI despite anticoagulant therapy. Emergency endovascular therapy (EVT) with an aspiration catheter and ballooning were performed to the popliteal and renal artery, in addition to additional stenting of the SMA because of an intramural hematoma. This one session of emergency EVT was sufficient to save this patient, and no sequelae were observed after this treatment.