Use of intracoronary thrombolysis for huge thrombus burden in an ectatic right coronary artery
Other Title(s)
الحقن المباشر لمواضع التخثر داخل شريان تاجي أيمن مترهل و مسدود بكميات غزيرة من الخثرة التاجية في مريض مصاب باحتشاء قلبي حاد
Joint Authors
al-Lawati, Hatim
al-Hadi, Hafiz
Nadar, Sunil K.
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 20, Issue 4 (30 Nov. 2020), pp.390-393, 4 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2020-11-30
Country of Publication
Oman
No. of Pages
4
Main Subjects
Abstract EN
Managing a high intracoronary (IC) thrombus burden is a major challenge in patients with ectatic coronary arteries who present with an ST-elevation myocardial infarction (STEMI).
We report a 45-year-old male patient who presented to the Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with an inferior STEMI.
Coronary angiography revealed ectatic coronary arteries with an occluded right coronary artery (RCA).
The RCA had a massive thrombus burden that did not resolve with aspiration thrombectomy or balloon angioplasty.
Subsequently, IC thrombolysis was administered resulting in significant reperfusion.
During the course of his treatment, the patient suffered from intracranial bleeding as a complication; however, he recovered completely with no residual neurological sequelae.
This case report demonstrates that IC thrombolysis is a valid option in patients with a massive thrombus burden in the setting of a STEMI, albeit with an increased risk of major bleeding.
American Psychological Association (APA)
al-Lawati, Hatim& al-Hadi, Hafiz& Nadar, Sunil K.. 2020. Use of intracoronary thrombolysis for huge thrombus burden in an ectatic right coronary artery. Sultan Qaboos University Medical Journal،Vol. 20, no. 4, pp.390-393.
https://search.emarefa.net/detail/BIM-1342265
Modern Language Association (MLA)
al-Lawati, Hatim…[et al.]. Use of intracoronary thrombolysis for huge thrombus burden in an ectatic right coronary artery. Sultan Qaboos University Medical Journal Vol. 20, no. 4 (Nov. 2020), pp.390-393.
https://search.emarefa.net/detail/BIM-1342265
American Medical Association (AMA)
al-Lawati, Hatim& al-Hadi, Hafiz& Nadar, Sunil K.. Use of intracoronary thrombolysis for huge thrombus burden in an ectatic right coronary artery. Sultan Qaboos University Medical Journal. 2020. Vol. 20, no. 4, pp.390-393.
https://search.emarefa.net/detail/BIM-1342265
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 393
Record ID
BIM-1342265