Percutaneous coronary intervention for three vessels of chronic total occlusion complicated with huge left ventricular thrombus

被引：0
|
作者：
Hashimoto S. [1 ]
Shiraishi J. [1 ]
Yanagiuchi T. [1 ]
Hyogo M. [1 ]
Sawada T. [1 ]
Kohno Y. [1 ]
机构：
[1] Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto
来源：
Cardiovascular Intervention and Therapeutics | 2016年 / 31卷 / 4期
关键词：
Chronic total occlusion; Everolimus-eluting stent; Ischemic cardiomyopathy; Left ventricular thrombus; Percutaneous coronary intervention;
D O I：
10.1007/s12928-015-0361-1
中图分类号：
学科分类号：
摘要：
A 55-year-old woman with symptoms of heart failure appeared to have ischemic cardiomyopathy complicated with 3-vessel chronic total occlusion (CTO), severely deteriorated left ventricular (LV) function, and large LV thrombus. Because of high risk of surgical thrombectomy in addition to coronary artery bypass grafting surgery, we first confirmed significant reduction of LV thrombus and performed percutaneous coronary intervention against the 3-vessel CTO under preceding anticoagulation therapy with warfarin, aspirin, and clopidogrel. By means of antegrade/retrograde approach, we successfully implanted everolimus-eluting stents one by one, leading to complete revascularization, dramatically improved LV function, and disappearance of LV thrombus without post-procedural embolism. © 2015, Japanese Association of Cardiovascular Intervention and Therapeutics.
引用
收藏
页码：321 / 328
页数：7
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