Distal emboli protection in patients undergoing percutaneous coronary intervention after a recent myocardial infarction. |
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| Authors: | Vijay G Kalaria Carl Rouch Patrick D Bourdillon Jeffrey A Breall |
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| Affiliation: | Krannert Institute of Cardiology, Clarian Cardiovascular Center, Department of Medicine, Indiana University, Indianapolis, Indiana 46202, USA. vkalaria@iupui.edu |
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| Abstract: | Devices to prevent distal atheroembolization are an important addition to the armamentarium of an interventional cardiologist. We report the use of PercuSurge, a distal balloon occlusion device, in two patients with recent myocardial infarction of differing etiologies. The first case is a patient with an old degenerated vein graft with thrombotic occlusion of greater than 48-hr duration and the second case is a patient with an embolic myocardial infarction in a native coronary artery. In both cases, significant thromboembolic debris was aspirated with technical success and no complications. These cases illustrate use of the PercuSurge device in patients after a recent myocardial infarction for preserving distal myocardial perfusion and microvascular integrity. |
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| Keywords: | distal protection device embolization myocardial infarction coronary angioplasty saphenous vein graft intervention |
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