title: Combined intracoronary thrombolysis, thrombus aspiration and mesh-covered stent implantation for organized massive thrombus burden in ectatic coronary.
abstract: Organized intracoronary thrombus is associated with adverse outcomes due to distal embolization and no-reflow phenomenon during PCI, particularly in large or ectatic coronary arteries. Intracoronary thrombolysis is an underused but effective and safe strategy. We describe the case of a 56-year-old man admitted due to a subacute myocardial infarction with massive thrombus burden in a right ectatic coronary artery to present the usefulness of a sequential approach with intracoronary thrombolysis, thrombus aspiration and a novel mesh-covered stent implantation as a reasonable and effective strategy to avoid a no-reflow phenomenon during PCI, achieving an immediate successful angiographic result, and a positive long-term clinical outcome.
authors.affiliation: Interventional Cardiology Unit, Cardiology Department, Clinic University Hospital "Lozano Blesa", Av. San Juan Bosco, 15, 50009, Zaragoza, Spain, joselinares1979@hotmail.com.
authors.forename: J A
authors.initials: JA
authors.lastname: Linares Vicente
authors.forename: A
authors.initials: A
authors.lastname: Lukic
authors.forename: J R
authors.initials: JR
authors.lastname: Ruiz Arroyo
authors.forename: P
authors.initials: P
authors.lastname: Revilla Martí
authors.forename: B
authors.initials: B
authors.lastname: Simó Sánchez
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D020099:Coated Materials, Biocompatible; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003331:Coronary Vessels / Q000503:physiopathology; D004452:Echocardiography; D004548:Elasticity; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012720:Severity of Illness Index; D015607:Stents; D013396:Suction / Q000379:methods*; D013526:Surgical Mesh; D015912:Thrombolytic Therapy / Q000379:methods*
chemical_list: D020099:Coated Materials, Biocompatible; D005343:Fibrinolytic Agents