Why the study?
Does a combination of intracoronary thrombolytic therapy, thrombectomy, and PCI successfully manage STEMI?
Does a combination of intracoronary thrombolytic therapy, thrombectomy, and PCI successfully manage STEMI?
This case report demonstrates the potential utility of combining intracoronary thrombolytic therapy, thrombectomy, and PCI for managing STEMI with high thrombus burden.
Thrombus remains the bane of interventional cardiology. The use of thrombus extraction devices and distal protection devices has been controversial. Pharmacological modulation using intracoronary (IC) thrombolytic therapy during percutaneous coronary intervention (PCI) is also not an established choice although intravenous thrombolytic therapy is widely accepted and applied treatment of choice for acute ST-elevation myocardial infarction (STEMI). This case report shows successful management of a patient of STEMI using a combination of IC thrombolytic therapy, thrombectomy device, and PCI.
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Sanjeev Agarwal (2010) studied this question.
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