Abstract

Background

Managing high thrombotic burden in the context of myocardial infarction remains a challenging scenario.

Case summary

A 51-year-old male was admitted for a subacute inferior myocardial infarction with persistent chest pain. Emergent coronary angiography showed an ostial–proximal thrombotic occlusion of a large ectatic right coronary artery. Several balloon inflations were performed that were not able to improve distal TIMI flow beyond II. With the intent of vaporizing the remaining thrombus, Excimer Laser Coronary Angioplasty was performed with a favourable outcome.

Discussion

The present case constitutes an opportunity to revisit percutaneous and non-percutaneous strategies to tackle persistent coronary thrombus showing a contemporary approach to niche technologies such as laser angioplasty.

Details

Title

Subacute right coronary artery thrombosis treated by using Excimer Laser Coronary Angioplasty: a case report

Author

Faria, Daniel¹; Jeronimo, Adrián¹; Escaned, Javier¹

; Nuñez-Gil, Ivan J¹

¹ Hospital Clínico San Carlos, IDISSC, Universidad Complutense de Madrid , Calle del Prof Martín Lagos , 28040 Madrid, Spain

Publication year

2023

Publication date

Oct 2023

Publisher

Oxford University Press

e-ISSN

25142119

Source type

Scholarly Journal

Language of publication

English

DOI

https://doi.org/10.1093/ehjcr/ytad499

ProQuest document ID

3171828938

© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.