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Acute coronary embolism: Angiographic diagnosis and treatment with primary angioplasty
Author(s) -
Hernández Felipe,
Pombo Marta,
Dalmau Regina,
Andreu Javier,
Alonso Manuel,
Albarrán Agustín,
Velázquez María T.,
Tascón Juan C.
Publication year - 2002
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10122
Subject(s) - medicine , cardiology , angioplasty , myocardial infarction , aspirin , abciximab , clopidogrel , coronary arteries , primary angioplasty , embolism , angiography , artery , percutaneous coronary intervention
Acute coronary embolism is rarely diagnosed and it may explain why normal coronary arteries are found after or even before an acute coronary event in patients with thromboembolic risk factors. Emergency coronary angiography was performed in three patients with prior normal coronary arteries and an acute myocardial infarction, followed by primary angioplasty with low‐pressure balloon inflations plus stenting and combined antiaggregation with aspirin, clopidogrel, and abciximab to disrupt the thrombi and protect distal circulation from microemboli. Angiographic success was achieved in 100%, and 6‐month follow‐up has been uneventful on oral anticoagulation and antiaggregation. Cathet Cardiovasc Intervent 2002;55:491–494. © 2002 Wiley‐Liss, Inc.