• Medientyp: E-Artikel
  • Titel: Approach to high intracoronary thrombus burden in the era of COVID-19
  • Beteiligte: Coy, Kevin M; Maryniak, Andrii; Blankespoor, Thomas; Stys, Adam
  • Erschienen: BMJ, 2021
  • Erschienen in: BMJ Case Reports
  • Sprache: Englisch
  • DOI: 10.1136/bcr-2021-246223
  • ISSN: 1757-790X
  • Schlagwörter: General Medicine
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:p>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.</jats:p>
  • Zugangsstatus: Freier Zugang