Approach to high intracoronary thrombus burden in the era of COVID-19

被引：0

作者：

Coy, Kevin M. ^{[1
]}

Maryniak, Andrii ^{[2
]}

Blankespoor, Thomas ^{[3
]}

Stys, Adam ^{[4
]}

机构：

[1] Univ South Dakota, Cardiol, Sioux Falls, SD 57105 USA

[2] Suny Downstate Med Ctr, Dept Internal Med, Brooklyn, NY 11203 USA

[3] Univ South Dakota, Sanford Sch Med, Sioux Falls, SD USA

[4] Sanford USD Med Ctr, Dept Cardiol Sioux Falls, Sioux Falls, SD USA

来源：

BMJ CASE REPORTS | 2021年 / 14卷 / 12期

关键词：

cardiovascular medicine; heart failure; ischaemic heart disease; COVID-19; interventional cardiology; INTERVENTION; REFLOW;

D O I：

10.1136/bcr-2021-246223

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Since the start of the COVID-19 pandemic, several cases have reported extensive multivessel coronary thrombosis as a cardiovascular manifestation of SARS-CoV-2 infection. This case describes a patient who developed non-ST elevation myocardial infarction during hospitalization for acute hypoxic respiratory failure due to COVID-19. We review the immediate and delayed revascularisation strategies of culprit and non-culprit lesions in the setting of high intracoronary thrombus burden induced by SARS-CoV-2. Successful percutaneous intervention and stenting of a culprit lesion and resolution of an intracoronary thrombus using a delayed strategy of lesion passivation with adjuvant pharmacotherapy are demonstrated on index and follow-up angiography.

引用

页数：3

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