Coronary interventions

Flow-limiting thrombosis after intracoronary coil embolisation: optical coherence tomography during acute myocardial infarction

EuroIntervention 2016;11:1028. DOI: 10.4244/EIJV11I9A209

Nobuaki Kobayashi
Nobuaki Kobayashi1*, MD, PhD; Masamichi Takano2, MD, PhD; Tetsuro Shimura2, MD; Noritake Hata1, MD, PhD; Wataru Shimizu3, MD, PhD
1. Division of Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School, Chiba, Japan; 2. Department of Cardiology, Chiba Hokusoh Hospital, Nippon Medical School, Chiba, Japan; 3. Department of Cardiovascular Medicine, Nippon Medical School, Tok




A 75-year-old female was transferred to our hospital with sudden onset chest pain radiating to the left arm. She had a history of hypertension, chronic kidney disease treated with regular haemodialysis, and a prior anterior myocardial infarction. Electrocardiography upon admission showed ST-segment elevation in broad anterior leads. Previous coronary angiography had illustrated chronic total occlusion (CTO) at the mid-left anterior descending artery (LAD) and collateral flow from the 2nd diagonal branch (DB) to the distal LAD through the 3rd DB. Percutaneous coronary intervention for the CTO lesion had been performed at another hospital five days prior to admission. ...

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