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Case Reports
. 2018 Dec;30(12):E154.

Thrombolysis-Guided Primary Percutaneous Coronary Intervention

Georgios Tzanis, Francesco Giannini  1 , Azeem Latib, Antonio Colombo
Affiliations
  • PMID: 30504519
Free article
Case Reports

Thrombolysis-Guided Primary Percutaneous Coronary Intervention

Georgios Tzanis et al. J Invasive Cardiol. 2018 Dec.
Free article

Abstract

A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI to proceed. This case highlights that fibrinolysis might still play a key role for some challenging cases in the era of modern PCI.

Keywords: ST-segment elevation myocardial infarction; STEMI; cardiac imaging; fibrinolysis; thrombolysis.

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