The Past, Present, and Future of Intravenous Platelet Inhibition in the Catheterization Laboratory-Case Presentation of Heavy Thrombus Burden

Case Presentation of Heavy Thrombus Burden

Video Transcription

Video Summary

In this video, a case is presented of an 80-year-old gentleman who came in with chest pain and dyspnea. He had a troponin elevation and was scheduled for coronary angiography. During the procedure, the physician discovered an ulcerated lesion in an ectatic right coronary artery and performed angioplasty with stent placement. However, shortly after, the patient developed proximal acute stent thrombosis. The panel of experts discusses the possible causes and treatment options, including antithrombotic medication, mechanical aspiration, and drug delivery into the microcirculation. They also consider the potential need for support devices and groin access in case of worsening conditions.

Asset Subtitle

Peter Monteleone, MD, FSCAI; Binita Shah, MD, FSCAI; and Jay Giri, MD, FSCAI

Keywords

chest pain

dyspnea

coronary angiography

stent placement

acute stent thrombosis