Early Selective C-Reactive Protein Apheresis in a Patient with Acute ST Segment Elevation Myocardial Reinfarction

Blood Purif. 2021;50(3):399-401. doi: 10.1159/000510554. Epub 2020 Sep 30.

Abstract

The patient was admitted for urgent coronary angiography following an acute anterior ST segment elevation myocardial reinfarction (STEMI) caused by acute stent thrombosis. A stent had been implanted 10 days prior to the reinfarction for an acute anterior STEMI. However, the patient had stopped taking ticagrelor post-discharge. Primary percutaneous coronary intervention of the left anterior descending artery was performed. Subsequently, due to a high C-reactive protein (CRP) level, 3 CRP apheresis sessions were performed, with the first session starting 12 h after the onset of symptoms. A significant drop in CRP was noted after each apheresis. The post-procedural course was uneventful.

Keywords: Apheresis; C-reactive protein; Cardiovascular disease; Post-procedural course; ST segment elevation myocardial reinfarction.

Publication types

  • Case Reports

MeSH terms

  • Aftercare
  • Blood Component Removal* / methods
  • C-Reactive Protein / isolation & purification*
  • Humans
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention
  • ST Elevation Myocardial Infarction / blood*
  • ST Elevation Myocardial Infarction / therapy

Substances

  • C-Reactive Protein