Pharmaco-Invasive Approach to Acute Coronary Syndrome with Acute Thrombotic Occlusion: A Tough Enemy to Conquer
Published: June 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44285.13736
Rutvik Trivedi
1. Consultant Cardiologist, Department of Cardiology, Zydus Hospital and Research Centre, Anand-Lambhavel Road, Anand, Gujarat, India.
Correspondence Address :
Dr. Rutvik Trivedi,
Consultant Cardiologist, Department of Cardiology, Zydus Hospital and Research Centre, Anand-Lambhavel Road, Anand-388001, Gujarat, India.
E-mail: rutviktrivedi78@gmail.com
Abstract
Acute occlusion of a Saphenous Vein Graft (SVG) is commonly associated with extensive atherosclerotic and thrombotic burden, which increases the risk of distal embolisation and no reflow and thus myocardial infarction and death. To decrease the risk of distal embolisation, embolic protection devices are used. This case report is about two elderly patients admitted with Acute Coronary Syndrome (ACS) due to acute thrombotic SVG occlusion that was recanalized through the complementary nature of two strategies.
Keywords
Chronic total occlusion, Coronary artery bypass graft, Percutaneous coronary intervention, Saphenous vein graft, Thrombus