Large Thrombus Burden in a Large RCA

JR 3.5 6F, Thrombus aspiration catheter, 2.5x20 mm Balloon, DES 3.5x38 mm

[@drJaydutt]

Thrombosuction prior to stenting might have changed distal flow blush and result would appear still better Anyways operator is best judge on table👍👍

[@bakrelfahham3459]

I think you would better have stopped and started Glycoprotien 2b/3a in ccu for 24 hrs then 2nd look You put the stent proximally at a site full of thrombi high risk of no reflow + i think it’s undersized proximally

[@suryadharmamdphd9744]

@@bakrelfahham3459 That is another option If there is no cost issue although the timing is still controversial and complications may occur in the following days. Furthermore, do not put stent in thrombus area. RAO view shows acceptable opposed stent.

[@jamshaidahmad5586]

It would be better option to cover Residual disease at inlet and outlet of the stent..was't it?

[@suryadharmamdphd9744]

RAO view shows that distal RCA has a borderline lesion, and thrombus containing lesion proximal to the stent.

[@Docsammy]

Plz share if this patient comes with stent thrombosis.

[@suryadharmamdphd9744]

Hopefully there will be no re-infarction