Importance of Right Marginal Branch Protection During Primary Angioplasty in Inferior STEMI With Right Ventricular Involvement

J Invasive Cardiol. 2019 Mar;31(3):E54.

Abstract

We document the high effectiveness of an extra guidewire insertion aimed at mechanical lumen protection of the right marginal branch from displaced thrombus, which frequently occurs during proximal right coronary artery stenting.

Keywords: STEMI; cardiac imaging; mechanical thrombus protection.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / methods*
  • Cardiac Catheterization / methods
  • Coronary Angiography / methods
  • Coronary Stenosis / complications
  • Coronary Stenosis / diagnostic imaging*
  • Disease Progression
  • Drug-Eluting Stents*
  • Humans
  • Male
  • Middle Aged
  • Recovery of Function
  • ST Elevation Myocardial Infarction / diagnostic imaging*
  • ST Elevation Myocardial Infarction / etiology
  • ST Elevation Myocardial Infarction / therapy*
  • Severity of Illness Index
  • Treatment Outcome
  • Vascular Patency / physiology
  • Ventricular Dysfunction, Right / complications
  • Ventricular Dysfunction, Right / diagnostic imaging*