战胜冠状动脉异位的急性冠状动脉综合征:通过冠状动脉内溶栓、吸入式血栓切除术和三联疗法清除血栓

Sandeep Kancharla, Matthew Bridges, Christopher Hinson, Alejandro Lemor
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引用次数: 0

摘要

我们报告了一例冠状动脉异位患者的急性冠状动脉综合征病例。血管内成像显示右冠状动脉完全血栓闭塞。虽然最初的抽吸血栓切除术效果不佳,但冠状动脉内阿替普酶改善了随后的抽吸尝试。在抗血小板治疗的同时进行抗凝治疗,可持续减轻血栓负担。
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Conquering acute coronary syndrome in coronary artery ectasia: Thrombus resolution with intracoronary thrombolysis, aspiration thrombectomy, and triple therapy
We present a case of acute coronary syndrome in a patient with coronary artery ectasia. Intravascular imaging revealed complete thrombotic occlusion of the right coronary artery. Although initial aspiration thrombectomy was ineffective, intracoronary alteplase improved subsequent aspiration attempts. Medical management with anticoagulation alongside antiplatelet therapy reduced thrombotic burden with sustained effect.
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