Şevket GÖRGÜLÜ, Tuğrul NORGAZ, Mehmet ERGELEN

Primer Perkütan Koroner Girişimin Nadir Bir Komplikasyonu: Sorumlu Lezyona Komşu Koroner Arterde Gelişen Total Oklüzyon

ST yükselmeli miyokard infarktüsü STYMİ olan hastalarda, primer perkutan koroner girişim PKG sırasında gelişen trombotik ve aterosklerotik materyal embolizasyonu bu işlem içim önemli bir dezavantajdır. Çünkü distal embolizasyon bu hastalarda başarılı reperfüzyonu engelleyerek, daha fazla miyokardiyal hasara ve daha kötü prognoza yol açar. Bununla birlikte, primer PKG uygulanan hastalarda nadir olarak proksimal embolizasyon da gelişebilmektedir. Biz bu yazıda, başarılı primer PKG uygulanan iki hastada, proksimal embolizasyona bağlı gelişen total oklüzyon olgularını sunduk

A Rare Complication of Primary Percutaneous Coronary Intervention: Total Occlusion of The Adjacent Coronary Artery To Culprit Lesion

Recently, distal embolization of thrombus and plaque debris, as assessed by angiography, has been identified as one of the major drawback of primary PCI in the setting of ST elevation myocardial infarction STEMI , limiting myocardial reperfusion and leading to larger myocardial damage and worse prognosis. However, proximal embolization can occur as a rare event in patients undergoing primary PCI. In this manuscript, we presented two total occlusion cases which occured due to proximal embolization of successful primary PCI

Keywords:

Primary Percutaneous Intervention, Thrombus, Embolization,

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