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Contemporary clot busting in ST-elevation myocardial infarction: beware of the embolus
  1. John Rawlins,
  2. Nimit Shah,
  3. Peter O'Kane
  1. Department of Cardiology, Royal Bournemouth Hospital, Bournemouth, UK
  1. Correspondence to Dr Peter O'Kane, Department of Cardiology, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorest BH7 7DW, UK; peter.o'kane{at}rbch.nhs.uk

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Case

A 65-year-old man presented with an acute inferior ST-elevation myocardial infarction (STEMI) 2 h after the onset of pain. After pre-treatment with aspirin, prasugrel and bivalirudin (bolus and infusion), the patient underwent percutaneous coronary intervention (PCI). The right coronary artery (RCA) was occluded proximally (figure 1A) and it was re-cannulised with the …

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