High Intracoronary Thrombus Burden Managed by IVUS-Guided Stent Placement and Optimization with Sparing of Non-Occlusive Thrombus in Post-Stenotic Ectatic Segment
Researchers & Contributors
Dr. Sanjeeb Roy
Director
Department of Cardiology
CK Birla Hospitals (RBH)
Jaipur
Dr. Ajay Kumar Bairwa
Healthcare Management
Cardiology Research
CK Birla Hospitals (RBH)
Jaipur
Dr. Kuldeep Chittora
Consultant
Department of Cardiac Anesthesia
CK Birla Hospitals (RBH)
Jaipur
Case Videos
Video 1
The LCx (culprit vessel) with discrete thrombotic sub-totally occluded segment followed by ectasia
Video 2
The LAD with intermediate lesion in proximal part. The D1 also has intermediate lesion in mid part
Video 3
LCX: Sub-total occlusion f/b ectasia with thrombus Ramus: Discrete tight ostial lesion f/b diffuse disease
Video 4
RCA: Dominant vessel with tubular ectatic segment in mid part
Video 5
LCX: Wire cross the sub-totally occluded segment. *Ectatic segment with thrombus, slow flow in distal LCX
Video 6
Pre IVUS LCx: Fibro-calcific lesion with large thrombus hanging even to the distal ectatic segment
Video 7
Post IVUS LCx: Well-deployed and expanded stent landing in relatively disease-free segment, but non-occlusive thrombus distally
Video 8
Final results: TIMI-III flow with thrombus in LCx hanging beyond the stent
Video 9
Final results: TIMI-III flow with thrombus in LCx hanging beyond the stent