Intraprocedural Thrombus Formation in the Left Main Tract During Primary Percutaneous Coronary Intervention

被引:0
作者
Oh, Jun-Hyok [1 ]
Lee, Han Cheol [1 ]
Cha, Kwang Soo [1 ]
机构
[1] Pusan Natl Univ Hosp, Dept Cardiol, Pusan 602739, South Korea
来源
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN | 2014年 / 24卷
关键词
Myocardial infarction; Angioplasty; Thrombus; Percutaneous Coronary Intervention; Main tract; ELEVATION MYOCARDIAL-INFARCTION; STENT THROMBOSIS; ELUTING STENTS; BIFURCATION; PREDICTORS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 67 years old male presented with acute myocardial infarction. Emergency coronary angiography demonstrated subocclusive stenosis in the proximal Left Anterior Descending artery (LAD). Primary Percutaneous Coronary Intervention (PCI) was complicated with intraprocedural thrombosis in the distal Left Main Tract (LMT) following implantation of a stent in the mid LAD. The thrombus was successfully managed with heparin and quadruple antiplatelet therapy (abciximab, aspirin, clopidogrel, and cilostazol) after several attempts of thrombectomy adequate distal flow was achieved. The lesion in the proximal LAD was successfully treated using a kissing stent technique in the second stage.
引用
收藏
页码:S163 / S165
页数:3
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