Key result
Dual antiplatelet agents and oral rivaroxaban successfully managed a massive intracoronary thrombus in the left anterior descending artery of a late-presenting STEMI patient.
A combination of dual antiplatelet therapy and oral rivaroxaban successfully managed a massive intracoronary thrombus in a late-presenting STEMI patient.
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Hypothesis-generating for DAPT plus rivaroxaban in late STEMI with large thrombus; prospective trials needed before any practice change.
Management of intracoronary thrombus in patients presenting more than 12 hours after the onset of ST elevation myocardial infarction is challenging. We present such a case which had massive thrombus in left anterior descending artery. It was managed successfully with dual antiplatelet agents and factor Xa inhibitor rivaroxaban administered orally.
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Jamal et al. (2015) studied this question. Dual antiplatelet agents and oral rivaroxaban successfully managed a massive intracoronary thrombus in the left anterior descending artery of a late-presenting STEMI patient.
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