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Updated: Feb 1, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Thrombolysis-Guided Primary Percutaneous Coronary Intervention
Georgios Tzanis, Francesco Giannini1, Azeem Latib
1Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Via Madonna di Genova, 1, 48033 Cotignola RA, Italy. giannini_fra@yahoo.it.
A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI to proceed. This case highlights that fibrinolysis might still play a key role for some challenging cases in the era of modern PCI.
A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI to proceed. This case highlights that fibrinolysis might still play a key role for some challenging cases in the era of modern PCI.
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