title: Large coronary thrombus: A safe and effective approach using percutaneous coronary intervention after vigorous antithrombotic therapy.
abstract: After percutaneous coronary intervention, high thrombotic burden is the strongest correlate for extensive microvascular obstruction, distal embolization, and the no-reflow phenomenon. It is suggested that in these cases conventional thrombectomy methods may mechanically dislodge thrombi downstream and decrease myocardial perfusion. The following report includes an alternative approach in which a coronary vessel with large thrombotic burden was treated successfully first with vigorous pharmacological antithrombotic and antiplatelet therapy followed by coronary intervention after several days.
authors: Interventional Cardiology, Washington Hospital Center, Washington, DC 20010, USA.
authors: Danny
authors: D
authors: Dvir
authors: Hironori
authors: H
authors: Kitabata
authors: Ron
authors: R
authors: Waksman