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http://hdl.handle.net/1942/12058
Title: | A case of myocardial infarction not to be stented too quickly ... | Authors: | Lefebvre, Christophe BENIT, Edouard |
Issue Date: | 2011 | Publisher: | ACTA CARDIOLOGICA | Source: | ACTA CARDIOLOGICA, 66(3). p. 379-382 | Abstract: | This is a case of an interventional dilemma about how to manage a large thrombus, located distally from and adherent to a severe stenosis in a coronary venous bypass graft, with a TIMI-3 flow in a patient with a non-ST-elevation myocardial infarction. This case report concerns a 70-year-old female patient, diagnosed with unstable angina, 18 asymptomatic years after coronary bypass surgery. Although a high risk of a severe ischaemic event is present, immediate coronary intervention is not mandatory since perfusion is maintained, and given the real risk of embolisation of the large thrombus, even contra-indicated. From this perspective, the option to bail out and install an extensive antithrombotic therapy prior to delayed intervention is reasonable. | Notes: | [Lefebvre, Christophe; Benit, Edouard] Jessaziekenhuis Hasselt, B-3500 Hasselt, Belgium. edouard.benit@jessazh.be | Keywords: | Thrombus; tirofiban; saphenous vein graft; PCI;Thrombus; tirofiban; saphenous vein graft; PCI | Document URI: | http://hdl.handle.net/1942/12058 | ISSN: | 0001-5385 | e-ISSN: | 1784-973X | DOI: | 10.2143/AC.66.3.2114141 | ISI #: | 000291449400016 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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