1.
2.
Cardiovasc Interv Ther
; 30(2): 176-8, 2015 Apr.
Article
in English
| MEDLINE
| ID: mdl-24859651
3.
Cardiovasc Interv Ther
; 29(1): 55-9, 2014 Jan.
Article
in English
| MEDLINE
| ID: mdl-23754299
ABSTRACT
Organized intracoronary thrombus is associated with adverse outcomes due to distal embolization and no-reflow phenomenon during PCI, particularly in large or ectatic coronary arteries. Intracoronary thrombolysis is an underused but effective and safe strategy. We describe the case of a 56-year-old man admitted due to a subacute myocardial infarction with massive thrombus burden in a right ectatic coronary artery to present the usefulness of a sequential approach with intracoronary thrombolysis, thrombus aspiration and a novel mesh-covered stent implantation as a reasonable and effective strategy to avoid a no-reflow phenomenon during PCI, achieving an immediate successful angiographic result, and a positive long-term clinical outcome.