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Stent implantation in patient with visible intracoronary thrombus and compromised left ventricular function, after
I P Antonellis1, S P Patsilinakos, C A Pamboukas
1Invasive Cardiology Unit, Evangelismos Hospital, Athens, Greece.
Insights
This case study details treating severe coronary artery disease, including unstable angina and significant blockages, using local thrombolysis and stent implantation. The Dispatch infusion catheter facilitated the intervention for this complex cardiac patient.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Unstable angina is a critical manifestation of coronary artery disease.
- Significant coronary artery stenosis, intracoronary thrombus, and reduced ejection fraction present complex therapeutic challenges.
Observation:
- A patient presented with unstable angina, 90% right coronary artery stenosis, intracoronary thrombus, and total occlusion of the left anterior descending and circumflex arteries.
- The patient's ejection fraction was approximately 22%, indicating severely impaired cardiac function.
Findings:
- Successful treatment involved local thrombolysis followed by stent implantation.
- The Dispatch infusion catheter was utilized for local thrombolysis, enabling the subsequent stenting procedure.
Implications:
- This case highlights a minimally invasive approach for complex coronary artery disease.
- The use of the Dispatch infusion catheter demonstrates its utility in managing intracoronary thrombus during interventional procedures.
- Effective management of such complex cases can potentially improve patient outcomes and cardiac function.
Abstract:
The case of a patient with unstable angina and angiographic findings of significant (approximately 90%) right coronary artery stenosis with an intracoronary thrombus next to the lesion, total left anterior descending and circumflex occlusion and an ejection fraction of approximately 22% is described. The case was treated with stent implantation after local thrombolysis with the use of the Dispatch infusion catheter.