Persistent and proximal migration of a large coronary thrombus during percutaneous coronary intervention in the setting of acute Q-wave myocardial infarction

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Mohammad-Reza Movahed

Abstract

We describe a patient with an acute inferior myocardial infarction. Patient was taken to the cardiac catheterization laboratory for primary angioplasty. Angiography revealed 100% occluded proximal right coronary artery (RCA). After initial balloon angioplasty of the occluded RCA, a very large mobile thrombus was seen in the proximal RCA. Despite multiple stenting, suctioning through the guide catheter lumen, and intracoronary thrombolytic therapy, the thrombus persisted and migrated proximally after each stenting. However, patient did well despite of persistent large thrombus burden in the proximal RCA on aggressive antithrombotic treatment.

References

Apr 16, 1998·Catheterization and Cardiovascular Diagnosis·Y NakagawaM Nobuyoshi
Apr 30, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mandeep SinghCharanjit S Rihal
Sep 5, 2002·The American Journal of Cardiology·Stéphane RinfretRoger J Laham
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ran KornowskiAbid Assali
Oct 18, 2003·Journal of the American College of Cardiology·Massimo NapodanoBernhard Reimers
Jun 22, 2005·Journal of Interventional Cardiology·Michael J LimMorton J Kern

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