ArticleJACC. Case reports2026
Distal Coronary Artery Thrombus After Primary PCI Resolved by Excimer Laser Coronary Angioplasty.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
backgroundResidual thrombus, a prognostic factor in ST-segment elevation acute myocardial infarction (STEMI), can be treated with excimer laser coronary angioplasty (ELCA). CASE SUMMARY: A 59-year-old man admitted with chest pain was diagnosed with STEMI. Emergency coronary angiography confirmed complete occlusion of the proximal right coronary artery. A stent was placed at the lesion site; angiography revealed a translucent thrombus in the distal right coronary artery. ELCA with a 0.9-mm probe, followed by 1.4-mm probe, was performed at maximum output with a backward pull. Subsequent angiography revealed improvements in the translucent image. DISCUSSION: In patients with STEMI, persistent residual distal coronary thrombus after primary percutaneous coronary intervention may negatively affect prognosis. Here, ELCA successfully resolved residual thrombus in the distal coronary artery. TAKE-HOME MESSAGE: ELCA may be considered in select cases with residual distal thrombus after primary percutaneous coronary intervention, particularly when the distal coronary artery is not tortuous.
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