PMC5204082_01
(a) Coronary angiography of patient number 1, catheterized 15 days after arrival showing complete occlusion of the left main coronary artery. Note femoral approach (published with permission from Elsevier), (b) patient number 2 coronary angiography showing complete occlusion of the left main coronary artery (white arrow), (c) after passing a guidewire down the left main and left anterior descending arteries the circumflex coronary artery was demonstrated (white arrow); left main coronary artery filling defect is demonstrated (black arrow), (d) thrombus aspirated from the left main prior to angioplasty, and (e) patient left main and left anterior descending coronary arteries demonstrated during the second catheterization, three days after arrival.
CRIC2016-7360682.001.jpg
PMC5204082_02_CRIC2016-7360682.001.jpg
fig1
Total occlusion of the left main was demonstrated using a 6F guiding catheter (Figure 1(b)) and a hydrophilic guidewire was passed through the occluded left main coronary artery to the left anterior descending artery (LAD). Immediately after passing the guidewire the circumflex artery was demonstrated (Figure 1(c)). A red thrombus was aspirated and flow was restored in the LAD (Figure 1(d)). Immediately after the second episode that patient had had a second catheterization via the right radial artery which demonstrated TIMI grade III flow in the left coronary system (Figure 1(e)).
PMC5204082_02
(a) Coronary angiography of patient number 1, catheterized 15 days after arrival showing complete occlusion of the left main coronary artery. Note femoral approach (published with permission from Elsevier), (b) patient number 2 coronary angiography showing complete occlusion of the left main coronary artery (white arrow), (c) after passing a guidewire down the left main and left anterior descending arteries the circumflex coronary artery was demonstrated (white arrow); left main coronary artery filling defect is demonstrated (black arrow), (d) thrombus aspirated from the left main prior to angioplasty, and (e) patient left main and left anterior descending coronary arteries demonstrated during the second catheterization, three days after arrival.
CRIC2016-7360682.001.jpg
PMC5204082_02_CRIC2016-7360682.001.jpg
fig1
Total occlusion of the left main was demonstrated using a 6F guiding catheter (Figure 1(b)) and a hydrophilic guidewire was passed through the occluded left main coronary artery to the left anterior descending artery (LAD). Immediately after passing the guidewire the circumflex artery was demonstrated (Figure 1(c)). A red thrombus was aspirated and flow was restored in the LAD (Figure 1(d)). Immediately after the second episode that patient had had a second catheterization via the right radial artery which demonstrated TIMI grade III flow in the left coronary system (Figure 1(e)).