Large coronary thrombus: A safe and effective approach using percutaneous coronary intervention after vigorous antithrombotic therapy.
Citation: Cardiovascular Revascularization Medicine. 2013 Feb 07PMID: 23395579Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXED | Year: 2013Local holdings: Available in print through MWHC library: 2002 - presentISSN:- 1878-0938
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 23395579 | Available | 23395579 |
Available in print through MWHC library: 2002 - present
After percutaneous coronary intervention, high thrombotic burden is the strongest correlate for extensive microvascular obstruction, distal embolization, and the no-reflow phenomenon. It is suggested that in these cases conventional thrombectomy methods may mechanically dislodge thrombi downstream and decrease myocardial perfusion. The following report includes an alternative approach in which a coronary vessel with large thrombotic burden was treated successfully first with vigorous pharmacological antithrombotic and antiplatelet therapy followed by coronary intervention after several days. Copyright © 2012. Published by Elsevier Inc.
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