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Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report
Abstract Background Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario. Case summary A 51-year-old male was admitted for a subacute inferior myocardial infarction with persistent chest pain. Emergent coronary angiography showed an ostial–proximal t...
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Published in: | European heart journal : case reports 2023-10, Vol.7 (10) |
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container_title | European heart journal : case reports |
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creator | Faria, Daniel Jeronimo, Adrián Escaned, Javier Nuñez-Gil, Ivan J |
description | Abstract
Background
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.
Case summary
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
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. |
doi_str_mv | 10.1093/ehjcr/ytad499 |
format | article |
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Background
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.
Case summary
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
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.</description><identifier>ISSN: 2514-2119</identifier><identifier>EISSN: 2514-2119</identifier><identifier>DOI: 10.1093/ehjcr/ytad499</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Case Report</subject><ispartof>European heart journal : case reports, 2023-10, Vol.7 (10)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c321t-56cec6b69420e9eccd474303b6279c533b263f299fec254051f1fb05c16ea7143</cites><orcidid>0000-0003-4932-0112 ; 0000-0002-1779-3102</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587994/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587994/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1598,27903,27904,53769,53771</link.rule.ids></links><search><contributor>Hashem, Anas Mohamad</contributor><contributor>Rathod, Krishnaraj</contributor><contributor>Chakir, Mariame</contributor><creatorcontrib>Faria, Daniel</creatorcontrib><creatorcontrib>Jeronimo, Adrián</creatorcontrib><creatorcontrib>Escaned, Javier</creatorcontrib><creatorcontrib>Nuñez-Gil, Ivan J</creatorcontrib><title>Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report</title><title>European heart journal : case reports</title><description>Abstract
Background
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.
Case summary
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
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.</description><subject>Case Report</subject><issn>2514-2119</issn><issn>2514-2119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFULtOwzAUtRBIVKUju0eWUD_ywCyoqspDqsQAzJbj3CSukjiyHUT-npQWBBPLPVc6Dx0dhC4puaZE8CXUO-2WY1BFLMQJmrGExhGjVJz--s_RwvsdIYQRLtKMz1DzMuRKDwGwM1UdsLbOdsqNWLkAE4Ta2Ta33ngcHKgABc5HPHjTVXjzoU0LDm-Vn-7627nqKmP7Rvkw3mKF9cRiB7114QKdlarxsDjiHL3db17Xj9H2-eFpvdpGmjMaoiTVoNM8FTEjIEDrIs5iTnieskzohPOcpbxkQpSgWRKThJa0zEmiaQoqozGfo7tDbj_kLRQauuBUI3tn2qmgtMrIv0xnalnZd0lJcpMJsU-IDgnaWe8dlD9mSuR-b_m1tzzuPemvDno79P9IPwHuO4bi</recordid><startdate>20231005</startdate><enddate>20231005</enddate><creator>Faria, Daniel</creator><creator>Jeronimo, Adrián</creator><creator>Escaned, Javier</creator><creator>Nuñez-Gil, Ivan J</creator><general>Oxford University Press</general><scope>TOX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4932-0112</orcidid><orcidid>https://orcid.org/0000-0002-1779-3102</orcidid></search><sort><creationdate>20231005</creationdate><title>Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report</title><author>Faria, Daniel ; Jeronimo, Adrián ; Escaned, Javier ; Nuñez-Gil, Ivan J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c321t-56cec6b69420e9eccd474303b6279c533b263f299fec254051f1fb05c16ea7143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Case Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Faria, Daniel</creatorcontrib><creatorcontrib>Jeronimo, Adrián</creatorcontrib><creatorcontrib>Escaned, Javier</creatorcontrib><creatorcontrib>Nuñez-Gil, Ivan J</creatorcontrib><collection>Oxford Open Access Journals</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European heart journal : case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Faria, Daniel</au><au>Jeronimo, Adrián</au><au>Escaned, Javier</au><au>Nuñez-Gil, Ivan J</au><au>Hashem, Anas Mohamad</au><au>Rathod, Krishnaraj</au><au>Chakir, Mariame</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report</atitle><jtitle>European heart journal : case reports</jtitle><date>2023-10-05</date><risdate>2023</risdate><volume>7</volume><issue>10</issue><issn>2514-2119</issn><eissn>2514-2119</eissn><abstract>Abstract
Background
Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.
Case summary
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
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.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/ehjcr/ytad499</doi><orcidid>https://orcid.org/0000-0003-4932-0112</orcidid><orcidid>https://orcid.org/0000-0002-1779-3102</orcidid><oa>free_for_read</oa></addata></record> |
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source | PubMed Central; Oxford Open Access Journals |
subjects | Case Report |
title | Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report |
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