Article Text
Images in cardiology
Contemporary clot busting in ST-elevation myocardial infarction: beware of the embolus
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- Thrombus aspiration
- STEMI
- myocardial infarction
- arrhythmogenic right ventricular dyplasia
- interventional cardiology
- myocardial disease
- myocardial ischaemia and infarction (IHD)
- arrhythmias
- coronary artery disease
- atherosclerosis
- risk factors
- coronary hemodynamics
- coronary collateral circulation
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 …
Footnotes
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.