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Case report: intravascular ultrasound sonography-guided re-entry technique in crushed stent.


ABSTRACT:

Background

Stent thrombosis (ST) is a rare, but potentially fatal complication. Procedural problems, such as stent under-dimension/under-expansion or dual antiplatelet drug resistance may result into ST. These conditions are more frequent during primary percutaneous coronary intervention for ST-elevation myocardial infarction (STEMI).

Case summary

A 60-year-old male patient presented to our hospital with an inferior STEMI. In the emergency department, a dual antiplatelet therapy was administered with ticagrelor 180 mg and aspirin 250 mg IV. During the observation, the patient experienced a ventricular fibrillation. Urgent coronary angiography showed an occlusion of the proximal right coronary artery. Thrombus aspiration was performed followed by implantation of one drug-elut

SUBMITTER: Iannaccone M 

PROVIDER: S-EPMC7180530 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature