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

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Abstract

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.

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Authors and Affiliations

  1. Interventional Cardiology Unit, Cardiology Department, Clinic University Hospital “Lozano Blesa”, Av. San Juan Bosco, 15, 50009, Zaragoza, Spain

    J. A. Linares Vicente, A. Lukic, J. R. Ruiz Arroyo, P. Revilla Martí & B. Simó Sánchez

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  1. J. A. Linares Vicente
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  2. A. Lukic
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  3. J. R. Ruiz Arroyo
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Correspondence to J. A. Linares Vicente.

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Linares Vicente, J.A., Lukic, A., Ruiz Arroyo, J.R. et al. Combined intracoronary thrombolysis, thrombus aspiration and mesh-covered stent implantation for organized massive thrombus burden in ectatic coronary. Cardiovasc Interv and Ther 29, 55–59 (2014). https://doi.org/10.1007/s12928-013-0189-5

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  • DOI: https://doi.org/10.1007/s12928-013-0189-5

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