Successful reperfusion with a percutaneous aspiration thrombectomy device, TVAC™, in a case of acute inferior myocardial infarction due to occlusion of the distal segment of the dilated right coronary artery

Yasutomi Higashikuni, Yuji Ikari, Hiroyoshi Nakajima, Kengo Tanabe, Tomohiro Nakayama, Akiyoshi Miyazawa, Mitsuharu Hatori, Hiroyuki Kyono, Gaku Nakazawa, Shuzo Tanimoto, Eisuke Amiya, Yoshinobu Onuma, Kazuhiro Hara

Research output: Contribution to a Journal (Peer & Non Peer)Articlepeer-review

Abstract

A 37-year-old man was admitted for acute MI. An emergent coronary angiogram showed a marked dilatation of the right coronary artery and a characteristic feature of thrombotic occlusion in the distal segment. We performed percutaneous aspiration thrombectomy using a TVAC™ (NIPRO Corporation). Successful revascularization was achieved with the TVAC™ alone. The aspirated particles were red thrombi. Intravascular ultrasound after the intervention revealed neither intimal plaque nor plaque rupture in the lesion segment. Because of its good trackability, pushability, and crossability, TVAC™ may be very useful in the treatment of acute MI when the lesion is located in the distal segment, and it contains large amounts of thrombi.

Original languageEnglish
Pages (from-to)243-246
Number of pages4
JournalJapanese Journal of Interventional Cardiology
Volume20
Issue number3
Publication statusPublished - 2005
Externally publishedYes

Keywords

  • Distal lesion of the dilated right coronary artery
  • Percutaneous aspiration thrombectomy
  • TVAC™

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