Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report.
Acute coronary syndrome
Case report
Coronary artery disease
ELCA
IVUS
Laser therapy
Myocardial infarction
Journal
European heart journal. Case reports
ISSN: 2514-2119
Titre abrégé: Eur Heart J Case Rep
Pays: England
ID NLM: 101730741
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
03
05
2023
revised:
18
09
2023
accepted:
05
10
2023
medline:
23
10
2023
pubmed:
23
10
2023
entrez:
23
10
2023
Statut:
epublish
Résumé
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario. 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. 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.
Sections du résumé
Background
UNASSIGNED
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.
Case summary
UNASSIGNED
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
UNASSIGNED
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.
Identifiants
pubmed: 37869742
doi: 10.1093/ehjcr/ytad499
pii: ytad499
pmc: PMC10587994
doi:
Types de publication
Case Reports
Langues
eng
Pagination
ytad499Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
Déclaration de conflit d'intérêts
Conflict of interest: None declared.
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