39. Dual guiding catheters and an embolic protection device in coronary intervention for complex ST-elevation myocardial infarction: A case report
Main Article Content
Abstract
The management of thrombosis in coronary intervention for acute myocardial infarction with ST elevation requires flexible and rational use of different devices. The use of two guiding catheters (ping-pong guiding technique) has been reported in the management of complications as well as in the intervention for trifurcation lesions. Here, we describe a 77-year-old man who was admitted to the hospital because of acute myocardial infarction with ST elevation and complications of cardiogenic shock. Coronary angiography showed acute complete occlusion of the left anterior descending artery due to thrombosis, chronic complete occlusion of the right coronary artery, moderate stenosis of the distal left main artery, and a lesion at the ostium of the left circumflex coronary artery. Two drug-eluting stents were successfully deployed using the double kissing- crush technique with the support of an embolic protection device and two guiding catheters. This clinical case demonstrates the importance of the flexible use of interventional instruments to optimize the revascularization process.
Article Details
Keywords
Acute myocardial infarction, Embolic protection devices, Ping-pong guiding catheter, DK-crush technique
References
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