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...

Descripción completa

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
_version_ 1785123482795769856
author Faria, Daniel
Jeronimo, Adrián
Escaned, Javier
Nuñez-Gil, Ivan J
author_facet Faria, Daniel
Jeronimo, Adrián
Escaned, Javier
Nuñez-Gil, Ivan J
author_sort Faria, Daniel
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10587994
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-105879942023-10-21 Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report Faria, Daniel Jeronimo, Adrián Escaned, Javier Nuñez-Gil, Ivan J Eur Heart J Case Rep 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 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. Oxford University Press 2023-10-09 /pmc/articles/PMC10587994/ /pubmed/37869742 http://dx.doi.org/10.1093/ehjcr/ytad499 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Faria, Daniel
Jeronimo, Adrián
Escaned, Javier
Nuñez-Gil, Ivan J
Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title_full Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title_fullStr Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title_full_unstemmed Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title_short Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
title_sort subacute right coronary artery thrombosis treated by using excimer laser coronary angioplasty: a case report
topic Case Report
url 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
work_keys_str_mv AT fariadaniel subacuterightcoronaryarterythrombosistreatedbyusingexcimerlasercoronaryangioplastyacasereport
AT jeronimoadrian subacuterightcoronaryarterythrombosistreatedbyusingexcimerlasercoronaryangioplastyacasereport
AT escanedjavier subacuterightcoronaryarterythrombosistreatedbyusingexcimerlasercoronaryangioplastyacasereport
AT nunezgilivanj subacuterightcoronaryarterythrombosistreatedbyusingexcimerlasercoronaryangioplastyacasereport

Ejemplares similares