The role of intracoronary thrombolysis in selected patients presenting with ST-elevation myocardial infarction: a case series.

ABSTRACT:

Background

Primary percutaneous coronary intervention (PCI) is the cornerstone of management for ST-elevation myocardial infarction (STEMI). However, large intracoronary thrombus burden complicates up to 70% of STEMI cases. Adjunct therapies described to address intracoronary thrombus include manual and mechanical thrombectomy, use of distal protection device and intracoronary anti-thrombotic therapies.

Case summary

This series demonstrates the use of intracoronary thrombolysis in the setting of large coronary thrombus, bifurcation lesions with vessel size mismatch, diffuse thrombosis without underlying plaque rupture, and improving coronary flow to allow vessel wiring and proceeding to definitive revascularization.

Discussion

Larger intracoronary thrombus burden corr

SUBMITTER: Barua S 

PROVIDER: S-EPMC7649476 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature