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Title: Successful intracoronary thrombolysis for extensive right coronary artery luminal thrombotic occlusion
Authors: Liang, M. 
Low, A.F. 
Keywords: Acute myocardial infarction
Issue Date: 2014
Abstract: A 46-year-old man who had failed primary angioplasty to the dominant right coronary artery due to high thrombus burden 2 years previously, presented with non-ST-elevation myocardial infarction following discontinuing antiplatelet therapy for 2 months. Angiography showed occluded right coronary artery with extensive thrombus burden. There was no significant left coronary artery disease. Due to failure of thromboaspiration and angiojet from the previous attempt 2 years previously, intracoronary thrombolysis with streptokinase was administered via thromboaspiration catheter. Following intracoronary thrombolysis, aspiration catheter was able to retrieve the majority of thrombi and achieved thrombolysis in myocardial infarction 3 flow at the end of the procedure with resolution of transient ST elevation. This case demonstrated that the use of adjunctive intracoronary thrombolysis and manual aspiration in a patient presenting with myocardial infarction with heavy thrombus burden might be useful in selected cases.. © 2014 Japanese College of Cardiology.
Source Title: Journal of Cardiology Cases
ISSN: 18785409
DOI: 10.1016/j.jccase.2014.01.003
Appears in Collections:Staff Publications

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