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Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery
Managing a high intracoronary (IC) thrombus burden is a major challenge in patients with ectatic coronary arteries who present with an ST-elevation myocardial infarction (STEMI). We report a 45-year-old male patient who presented to the Department of Medicine, Sultan Qaboos University Hospital, Musc...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7757917/ https://www.ncbi.nlm.nih.gov/pubmed/33414947 http://dx.doi.org/10.18295/squmj.2020.20.04.018 |
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author | Al-Lawati, Hatim AlHadi, Hafidh Nadar, Sunil K. |
author_facet | Al-Lawati, Hatim AlHadi, Hafidh Nadar, Sunil K. |
author_sort | Al-Lawati, Hatim |
collection | PubMed |
description | Managing a high intracoronary (IC) thrombus burden is a major challenge in patients with ectatic coronary arteries who present with an ST-elevation myocardial infarction (STEMI). We report a 45-year-old male patient who presented to the Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with an inferior STEMI. Coronary angiography revealed ectatic coronary arteries with an occluded right coronary artery (RCA). The RCA had a massive thrombus burden that did not resolve with aspiration thrombectomy or balloon angioplasty. Subsequently, IC thrombolysis was administered resulting in significant reperfusion. During the course of his treatment, the patient suffered from intracranial bleeding as a complication; however, he recovered completely with no residual neurological sequelae. This case report demonstrates that IC thrombolysis is a valid option in patients with a massive thrombus burden in the setting of a STEMI, albeit with an increased risk of major bleeding. |
format | Online Article Text |
id | pubmed-7757917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-77579172021-01-06 Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery Al-Lawati, Hatim AlHadi, Hafidh Nadar, Sunil K. Sultan Qaboos Univ Med J Case Report Managing a high intracoronary (IC) thrombus burden is a major challenge in patients with ectatic coronary arteries who present with an ST-elevation myocardial infarction (STEMI). We report a 45-year-old male patient who presented to the Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with an inferior STEMI. Coronary angiography revealed ectatic coronary arteries with an occluded right coronary artery (RCA). The RCA had a massive thrombus burden that did not resolve with aspiration thrombectomy or balloon angioplasty. Subsequently, IC thrombolysis was administered resulting in significant reperfusion. During the course of his treatment, the patient suffered from intracranial bleeding as a complication; however, he recovered completely with no residual neurological sequelae. This case report demonstrates that IC thrombolysis is a valid option in patients with a massive thrombus burden in the setting of a STEMI, albeit with an increased risk of major bleeding. Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences 2020-11 2020-12-21 /pmc/articles/PMC7757917/ /pubmed/33414947 http://dx.doi.org/10.18295/squmj.2020.20.04.018 Text en © Copyright 2020, Sultan Qaboos University Medical Journal, All Rights Reserved This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nd/4.0/) . |
spellingShingle | Case Report Al-Lawati, Hatim AlHadi, Hafidh Nadar, Sunil K. Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title | Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title_full | Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title_fullStr | Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title_full_unstemmed | Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title_short | Use of Intracoronary Thrombolysis for Huge Thrombus Burden in an Ectatic Right Coronary Artery |
title_sort | use of intracoronary thrombolysis for huge thrombus burden in an ectatic right coronary artery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7757917/ https://www.ncbi.nlm.nih.gov/pubmed/33414947 http://dx.doi.org/10.18295/squmj.2020.20.04.018 |
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