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Cardiovascular Intervention and Therapeutics

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01-01-2012 | Case Report

Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome

Authors: Makoto Furugen, Yoshitoki Takagawa

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2012

Abstract

Coronary artery ectasia (CAE), which is reported in 0.3–5.3% of coronary angiograms, is known as a risk factor of acute coronary syndrome (ACS). Optimal treatment of CAE in ACS has not yet been established because of few clinical reports and no randomized trial. We describe a 78-year-old woman in whom thrombolysis with recombinant tissue-plasminogen activator, heparin and dual antiplatelet therapy were performed, and an angiogram after 3 days revealed the disappearance of massive thrombus in the CAE of the left circumflex coronary artery. Staged percutaneous coronary intervention and multidisciplinary procedure are feasible to treat ACS with massive thrombus.

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Title: Staged interventional management of a massive thrombus related to coronary artery ectasia in acute coronary syndrome
Authors: Makoto Furugen
Yoshitoki Takagawa
Publication date: 01-01-2012
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2012
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-011-0083-y

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