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Percutaneous interventions in patients with cocaine‐associated myocardial infarction: A case series and review
Author(s) -
Sharma Arvind K.,
Hamwi Shadi M.,
Garg Nidhi,
Castagna Marco T.,
Suddath William,
Ellahham Samer,
Lindsay Joseph
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.10210
Subject(s) - medicine , myocardial infarction , conventional pci , percutaneous coronary intervention , angioplasty , cardiology , aspirin , culprit , percutaneous , thrombus , surgery
Cocaine‐associated myocardial infarction (CAMI) is a well‐reported entity. Most previous reports on CAMI have been limited to conservative care utilizing benzodiazepines, aspirin, nitroglycerin, calcium channel blockers, and thrombolytics. Current guidelines on CAMI advocate immediate use of angiography and angioplasty if available rather than routine administration of thrombolytics. However, based on literature search from 1966 to 2001 (using keywords “cocaine,” “myocardial infarction,” and “angioplasty”), there have been only two case reports of percutaneous coronary intervention (PCI) in patients with cocaine‐associated myocardial infarction. Both were notable for complications either during or immediately after the procedure. We report a series of 10 patients with cocaine‐associated myocardial infarction who were treated with percutaneous interventions, which included angioplasty, stenting, and AngioJet mechanical extraction of thrombus. Despite the different arteriopathic process involved, our findings suggest that PCI can be performed safely and with a high degree of procedural success in patients with CAMI. Cathet Cardiovasc Intervent 2002;56:346–352. © 2002 Wiley‐Liss, Inc.