PMC8169188_01
A. Acute occlusion of the left anterior descending artery (LAD; arrow); B. Thrombus (white arrow) in the proximal segment of the right coronary artery (RCA) and occlusion of the second (black arrow) and the third posterolateral branch (RPL; red arrow); C. Thrombus burden in the second and the third RPL (white arrows); D, E. Postprocedural left coronary angiography; F. Post-procedural right coronary angiography.
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Coronary angiography revealed an acute occlusion of the proximal left anterior descending artery (LAD) (Fig. 1A) and non-occlusive thrombus in the proximal right coronary artery (RCA). The latter artery was occluded in the second and the third posterolateral branches (Fig. 1B, C). The flow in the LAD was restored with a drug-eluting stent (Fig. 1D, E). An attempt to retrieve the RCA thrombi with a thrombectomy catheter was unsuccessful (Fig. 1F) and a decision was made to treat the patient with a bolus and 18-hour infusion of eptifibatide and dual antiplatelet therapy (acetylsalicylic acid plus ticagrelor).