Combined intracoronary thrombolysis, thrombus aspiration and mesh-covered stent implantation for organized massive thrombus burden in ectatic coronary

Linares Vicente, J. A. (Universidad de Zaragoza) ; Lukic, A. ; Ruiz Arroyo, J. R. (Universidad de Zaragoza) ; Revilla Martí, P. ; Simó Sánchez, B.

Resumen: Organized intracoronary thrombus is associated with adverse outcomes due to distal embolization and no-reflow phenomenon during PCI, particularly in large or ectatic coronary arteries. Intracoronary thrombolysis is an underused but effective and safe strategy. We describe the case of a 56-year-old man admitted due to a subacute myocardial infarction with massive thrombus burden in a right ectatic coronary artery to present the usefulness of a sequential approach with intracoronary thrombolysis, thrombus aspiration and a novel mesh-covered stent implantation as a reasonable and effective strategy to avoid a no-reflow phenomenon during PCI, achieving an immediate successful angiographic result, and a positive long-term clinical outcome.

Idioma: Inglés

DOI: 10.1007/s12928-013-0189-5

Año: 2014

Publicado en: Cardiovascular Intervention and Therapeutics 29 (2014), 55-59
ISSN: 1868-4300

Tipo y forma: Article (PostPrint)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)