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Strategies for the management of massive intra-coronary thrombus in acute myocardial infarction
  1. John Rawlins,
  2. Nalyaka Sambu,
  3. Peter O'Kane
  1. Cardiac Intervention Unit, Department of Cardiology, Dorset Heart Centre, Royal Bournemouth Hospital, Bournemouth, UK
  1. Correspondence to Dr Peter O'Kane, Cardiac Intervention Unit, Department of Cardiology, Dorset Heart Centre, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset BH7 7DW, UK; peter.o'kane{at}rbch.nhs.uk

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A 52-year-old man presented with an inferior ST elevation myocardial infarction. Coronary angiography demonstrated an occluded right coronary artery with massive thrombus burden (figure 1A). Aspirin, Prasurgrel and Bivallirudin were administered for transradial percutaneous coronary intervention (PCI).

Figure 1

Series of angiographic stills that demonstrate: (A) Occluded dominant right coronary artery with a massive intracoronary thrombus (Black arrows). (B) Establishment of TIMI 2 flow following excimer laser atherectomy. (C) Final result after treatment with three drug-eluting …

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