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Large thrombus burden in acute myocardial infarction: successful use of distal protection device following failure of thrombus aspiration
  1. Matthew G D Bates,
  2. Iain G Matthews,
  3. Jim A Hall
  1. Correspondence to Dr Matthew G D Bates; matthew.bates{at}ncl.ac.uk

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A 59-year-old woman with hypertension and previously well-controlled angina presented with acute central chest pain. ECG confirmed an inferior ST-segment elevation myocardial infarction. Emergency coronary angiography revealed severe stenosis of the right coronary artery in the mid-vessel with large thrombus burden (figure 1). Consistent with current clinical guidelines, manual thrombus aspiration using an Export® device (Medtronic, USA) was attempted but there …

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