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Angiology
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A Sequential Approach to the Management of a Massive Intracoronary Thrombus in ST Elevation Myocardial Infarction

A Case Report

Brian C. Carey, MD

Department of Cardiology, Geisinger Medical Center, Danville, PA, bccarey{at}geisinger.edu

James C. Blankenship, MD

Department of Cardiology, Geisinger Medical Center, Danville, PA

Thrombus-laden coronary lesions present a particular challenge to the interventional cardiolo-gist. Despite the development of multiple strategies to attack this problem, lesions with angio-graphically visible thrombus still carry a high risk of complications when coronary intervention is attempted. The authors present a case of acute inferior ST elevation myocardial infarction with a massive thrombus in an ectatic right coronary artery. Sequential treatment with intra-coronary glycoprotein IIb/IIIa inhibitor, rheolytic thrombectomy with 2 different-sized catheters, and transcatheter thrombus aspiration with a Pronto aspiration catheter was required to achieve a satisfactory result. This case illustrates the potential benefit of combining various mechanical strategies to treat intracoronary thrombus.

Angiology, Vol. 58, No. 1, 106-111 (2007)
DOI: 10.1177/0003319706295511
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This article has been cited by other articles:


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[Abstract] [PDF]


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