Sandeep Kancharla, Matthew Bridges, Christopher Hinson, Alejandro Lemor
{"title":"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","authors":"Sandeep Kancharla, Matthew Bridges, Christopher Hinson, Alejandro Lemor","doi":"10.1016/j.crmic.2024.100044","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100044"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Conquering acute coronary syndrome in coronary artery ectasia: Thrombus resolution with intracoronary thrombolysis, aspiration thrombectomy, and triple therapy\",\"authors\":\"Sandeep Kancharla, Matthew Bridges, Christopher Hinson, Alejandro Lemor\",\"doi\":\"10.1016/j.crmic.2024.100044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div></div>\",\"PeriodicalId\":100217,\"journal\":{\"name\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"volume\":\"4 \",\"pages\":\"Article 100044\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950275624000406\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275624000406","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.