Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report

BACKGROUND: Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario. CASE SUMMARY: A 51-year-old male was admitted for a subacute inferior myocardial infarction with persistent chest pain. Emergent coronary angiography showed an ostial–proximal thrombot...

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Detalles Bibliográficos
Autores principales: Faria, Daniel, Jeronimo, Adrián, Escaned, Javier, Nuñez-Gil, Ivan J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587994/
https://www.ncbi.nlm.nih.gov/pubmed/37869742
http://dx.doi.org/10.1093/ehjcr/ytad499
Descripción
Sumario:BACKGROUND: Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario. CASE SUMMARY: A 51-year-old male was admitted for a subacute inferior myocardial infarction with persistent chest pain. Emergent coronary angiography showed an ostial–proximal thrombotic occlusion of a large ectatic right coronary artery. Several balloon inflations were performed that were not able to improve distal TIMI flow beyond II. With the intent of vaporizing the remaining thrombus, Excimer Laser Coronary Angioplasty was performed with a favourable outcome. DISCUSSION: The present case constitutes an opportunity to revisit percutaneous and non-percutaneous strategies to tackle persistent coronary thrombus showing a contemporary approach to niche technologies such as laser angioplasty.

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