Original Study
Percutaneous interventions in patients with cocaine-associated myocardial infarction: A case series and review
Arvind K. Sharma MD,
Shadi M. Hamwi MD, Nidhi Garg MD, Marco T. Castagna MD,
William Suddath MD, Samer Ellahham MD, Joseph Lindsay MD,
Corresponding Author
Arvind K. Sharma MD
Washington Hospital Center, Washington, D.C
Section of Cardiology, Washington Hospital Center, 110 Irving Street, NW, Washington, DC 20010Search for more papers by this authorMarco T. Castagna MD
Washington Hospital Center, Washington, D.C
Search for more papers by this authorArvind K. Sharma MD,
Shadi M. Hamwi MD, Nidhi Garg MD, Marco T. Castagna MD,
William Suddath MD, Samer Ellahham MD, Joseph Lindsay MD,
Corresponding Author
Arvind K. Sharma MD
Washington Hospital Center, Washington, D.C
Section of Cardiology, Washington Hospital Center, 110 Irving Street, NW, Washington, DC 20010Search for more papers by this authorMarco T. Castagna MD
Washington Hospital Center, Washington, D.C
Search for more papers by this authorAbstract
Cocaine-associated myocardial infarction (CAMI) is a well-reported entity. Most previous reports on CAMI have been limited to conservative care utilizing benzodiazepines, aspirin, nitroglycerin, calcium channel blockers, and thrombolytics. Current guidelines on CAMI advocate immediate use of angiography and angioplasty if available rather than routine administration of thrombolytics. However, based on literature search from 1966 to 2001 (using keywords “cocaine,” “myocardial infarction,” and “angioplasty”), there have been only two case reports of percutaneous coronary intervention (PCI) in patients with cocaine-associated myocardial infarction. Both were notable for complications either during or immediately after the procedure. We report a series of 10 patients with cocaine-associated myocardial infarction who were treated with percutaneous interventions, which included angioplasty, stenting, and AngioJet mechanical extraction of thrombus. Despite the different arteriopathic process involved, our findings suggest that PCI can be performed safely and with a high degree of procedural success in patients with CAMI. Cathet Cardiovasc Intervent 2002;56:346–352. © 2002 Wiley-Liss, Inc.
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