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The value of intravascular ultrasound in patients with acute myocardial infarction

Alexandru Petrinel Cîrjan

Alexandru Petrinel Cîrjan

„Prof. Dr. C. C. Iliescu” Emergency Institute for Cardiovascular DiseasesBucharest, Romania
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Cîrjan, Alexandru Petrinel
, 
Iulia Daniela Kulcsar

Iulia Daniela Kulcsar

„Prof. Dr. C. C. Iliescu” Emergency Institute for Cardiovascular DiseasesBucharest, Romania
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Kulcsar, Iulia Daniela
, 
Radu Stavaru

Radu Stavaru

Department of Cardiology, Clinical Emergency HospitalCraiova, Romania
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Stavaru, Radu
, 
Nicu Catana

Nicu Catana

„Prof. Dr. C. C. Iliescu” Emergency Institute for Cardiovascular DiseasesBucharest, Romania
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Catana, Nicu
, 
Dan Deleanu

Dan Deleanu

„Prof. Dr. C. C. Iliescu” Emergency Institute for Cardiovascular DiseasesBucharest, Romania
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Deleanu, Dan
 und 
Lucian Marius Predescu

Lucian Marius Predescu

  • „Prof. Dr. C. C. Iliescu” Emergency Institute for Cardiovascular DiseasesBucharest, Romania
  • „Carol Davila” University of Medicine and PharmacyBucharest, Romania
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Predescu, Lucian Marius
  
01. Sept. 2022
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Artikel-Kategorie: Case Report
Online veröffentlicht: 01. Sept. 2022
Seitenbereich: 103 - 107
DOI: https://doi.org/10.2478/rjc-2022-0013
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© 2022 Alexandru Petrinel Cîrjan et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Coronary angiogram – left coronary artery (cranial projection): discrete atheromatous plaques on both left anterior descending and circumflex artery.
Coronary angiogram – left coronary artery (cranial projection): discrete atheromatous plaques on both left anterior descending and circumflex artery.

Figure 2

Coronary angiogram – left coronary artery (caudal projection): discrete atheromatous plaque on distal left main artery.
Coronary angiogram – left coronary artery (caudal projection): discrete atheromatous plaque on distal left main artery.

Figure 3

Coronary angiogram – right coronary artery (RCA): large thrombus in the mid segment of the RCA extending to posterior descending artery and posterolateral artery.
Coronary angiogram – right coronary artery (RCA): large thrombus in the mid segment of the RCA extending to posterior descending artery and posterolateral artery.

Figure 4

Coronary angiogram – right coronary artery (RCA): two hydrophilic guidewires in the posterolateral artery and posterior descending artery during aspiration thrombectomy.
Coronary angiogram – right coronary artery (RCA): two hydrophilic guidewires in the posterolateral artery and posterior descending artery during aspiration thrombectomy.

Figure 5

Coronary angiogram – Result after aspiration thrombectomy: residual thrombus in mid segment of right coronary artery with restoration of blood flow.
Coronary angiogram – Result after aspiration thrombectomy: residual thrombus in mid segment of right coronary artery with restoration of blood flow.

Figure 6

Intravascular ultrasound – ChromaFlo: Ulcerated atheromatous plaque with residual thrombus.
Intravascular ultrasound – ChromaFlo: Ulcerated atheromatous plaque with residual thrombus.

Figure 7

Intravascular ultrasound – Ulcerated atheromatous plaque with residual thrombus.
Intravascular ultrasound – Ulcerated atheromatous plaque with residual thrombus.

Figure 8

Intravascular ultrasound – Ulcerated atheromatous plaque with residual thrombus.
Intravascular ultrasound – Ulcerated atheromatous plaque with residual thrombus.

Figure 9

Intravascular ultrasound – Large plaque burden with eccentric calcification of proximal right coronary artery.
Intravascular ultrasound – Large plaque burden with eccentric calcification of proximal right coronary artery.

Figure 10

IVUS: Intravascular Ultrasound. DAPT: Dual Antiplatelet therapy. TLF: Target Lesion Failure. ACS: Acute coronary syndrome. PCI: Percutaneous Coronary Intervention.
IVUS: Intravascular Ultrasound. DAPT: Dual Antiplatelet therapy. TLF: Target Lesion Failure. ACS: Acute coronary syndrome. PCI: Percutaneous Coronary Intervention.
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Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Kardiologie, Kinder- und Jugendmedizin, Kinderkardiologie, Chirurgie, Herzchirurgie
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