Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response

We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right co...

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Main Authors: Rocco Edoardo Stio, Simone Calcagno, Luigi Lucisano, Mauro Pennacchi, Gennaro Sardella
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/4657/7811_CE(Ra)_E(C)_F(H)_PF1(AGH)_PFA(P)_PF2(PAG).pdf
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spelling doaj-756a2033144a48dda59d841d0589acee2020-11-25T03:42:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-08-0188MD01MD0210.7860/JCDR/2014/7811.4657Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function ResponseRocco Edoardo Stio0Simone Calcagno1Luigi Lucisano2Mauro Pennacchi3Gennaro Sardella4Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue in anterior wall. During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate. A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.https://jcdr.net/articles/PDF/4657/7811_CE(Ra)_E(C)_F(H)_PF1(AGH)_PFA(P)_PF2(PAG).pdfcomplications adult cath/interventionthrombectomyaggregometry
collection DOAJ
language English
format Article
sources DOAJ
author Rocco Edoardo Stio
Simone Calcagno
Luigi Lucisano
Mauro Pennacchi
Gennaro Sardella
spellingShingle Rocco Edoardo Stio
Simone Calcagno
Luigi Lucisano
Mauro Pennacchi
Gennaro Sardella
Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
Journal of Clinical and Diagnostic Research
complications adult cath/intervention
thrombectomy
aggregometry
author_facet Rocco Edoardo Stio
Simone Calcagno
Luigi Lucisano
Mauro Pennacchi
Gennaro Sardella
author_sort Rocco Edoardo Stio
title Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
title_short Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
title_full Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
title_fullStr Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
title_full_unstemmed Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
title_sort multiple and contemporary coronary thrombosis inspite of low platelet function response
publisher JCDR Research and Publications Private Limited
series Journal of Clinical and Diagnostic Research
issn 2249-782X
0973-709X
publishDate 2014-08-01
description We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue in anterior wall. During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate. A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.
topic complications adult cath/intervention
thrombectomy
aggregometry
url https://jcdr.net/articles/PDF/4657/7811_CE(Ra)_E(C)_F(H)_PF1(AGH)_PFA(P)_PF2(PAG).pdf
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