Simultaneous multi-vessel coronary thrombosis in patients with ST-elevation myocardial infarction: a systematic review

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Ahmed MahmoudIslam Y Elgendy

Abstract

Acute ST-elevation myocardial infarction (STEMI) with simultaneous multiple coronary thrombosis has been described, however; the available information about the clinical presentation and management of this condition is scarce. We searched the Medline and Web of Science databases from 1990 until August 2014 for all case reports, case series, and observational studies that reported simultaneous multi-vessel thrombosis at the time of the primary percutaneous coronary intervention (PCI). We excluded the articles that reported an identifiable cause for coronary thrombosis. A total of 29 articles were retrieved yielding 56 patients. Patients were predominantly males (88%) with a mean age of 59 years. Cardiogenic shock was the predominant presentation (41%). Simultaneous thrombosis of the left anterior descending and right coronary arteries was the commonest angiographic finding (50%). Primary PCI was the main treatment modality and an intra-aortic balloon pump was utilized in 38% of the cases. The in-hospital mortality was 5%. Simultaneous multi-vessel thrombosis at the time of STEMI presents a rare condition. The cases reported in the literature presented with a high incidence of cardiogenic shock. Larger studies are needed to addre...Continue Reading

References

Dec 1, 1989·Clinical Cardiology·Y HamadaE Hyakuna
May 3, 1984·The New England Journal of Medicine·M J Davies, A Thomas
Aug 1, 1995·Circulation·E FalkV Fuster
Jun 22, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A Y ShenM B Jorgensen
Sep 28, 2000·The New England Journal of Medicine·J A GoldsteinW W O'Neill
Aug 16, 2002·Heart and Vessels·Johann AuerBernd Eber
Jun 19, 2004·International Journal of Cardiovascular Interventions·Henry MeltserVijay Kalaria
May 16, 2008·The American Journal of the Medical Sciences·Alex G Ortega-Loayza, George A Stouffer
May 20, 2008·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Kursat TigenYelda Basaran
May 27, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Sung-Kien SiaKuei-Chuan Chan
Nov 26, 2009·The American Journal of Emergency Medicine·Chung-Ming TuTing-Ping Tsao
Nov 26, 2009·The American Journal of Emergency Medicine·Aleksander AraszkiewiczStefan Grajek
Jun 19, 2010·The New England Journal of Medicine·Robert W YehAlan S Go
Dec 22, 2010·Nature Reviews. Cardiology·Christian T Ruff, Eugene Braunwald
Dec 29, 2010·The American Journal of Medicine·David D McManusRobert J Goldberg
Nov 30, 2011·Korean Circulation Journal·Won-Jun SongYoung-Jin Choi
Feb 22, 2012·Journal of Cardiovascular Medicine·Gianluca TibertiFelice Achilli
Sep 26, 2012·BMC Research Notes·Feng GanTianran Dai
May 15, 2013·Journal of the Chinese Medical Association : JCMA·Ching-Wei LeeTse-Min Lu
Nov 1, 2013·The American Journal of Case Reports·Mahmoud Ahmed, Arabi Abdul

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Citations

Apr 9, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alfredo MarcheseHitoshi Yaku
May 18, 2018·Stroke; a Journal of Cerebral Circulation·Johannes KaesmacherJan Gralla
Apr 22, 2017·Singapore Medical Journal·Rajiv AnanthakrishnaHuay Cheem Tan
Nov 1, 2018·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Yurdaer DönmezZikret Köse

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