Distal embolization durante percutaneous coronary intervention: a case report

Abstract

Distal embolization is an acute complication of percutaneous coronary intervention (PCI). Distal embolization of
plaque and thrombus material is considered as a major cause of insufficient reperfusion despite a fully patent infarctrelated
artery, apart from ischemic microvascular damage and reperfusion-induced regional inflammatory responses.
In a recent study, angiographic evidence of distal embolization was associated with an 8-fold increase in 5-year
mortality.We reported on our experience with distal embolization durante PCI which lead the patient developed STElevation
Myocardial Infarct (STEMI) inferior and posterior accompanied with severe chest pain and was treated in
the Intesive Coronary Care Unit (ICCU). Distal embolization is the case that we should be put into our awareness
because it can worse the after procedural outcome.
Key words: distal embolization-percutaneous coronary intervention-insufficient reperfusion- myocardial ischemiaangiographic